| NPI | 1487799813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI J SARICH Office Manager 208-377-4003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID M8579) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2011-11-07 |