NPI | 1396514931 |
---|---|
Doing Business As | ORTHOPEDIC SPORTS INSTITUTE |
Entity Type | Organization |
Authorized Contact | ADAM JAMES OLSCAMP W2 Managing Employee 208-457-4211 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2023-12-22 |
Last Update Date | 2024-11-03 |