| NPI | 1508038902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE L. COOPER Office Manager 208-377-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID m8524) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2010-01-22 |