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1538238571
IDAHO ORTHOPEDIC & SPORTS CLINIC PA
POCATELLO, ID
NPI
1538238571
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Entity Type
Organization
Authorized Contact
RYAN HALL
Administrator
208-234-1960
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2006-11-06
Last Update Date
2015-07-30
Business Address
IDAHO ORTHOPEDIC & SPORTS CLINIC PA
560 MEMORIAL DR
POCATELLO, ID 83201-4073
Phone number: 208-234-1969
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Mailing Address
IDAHO ORTHOPEDIC & SPORTS CLINIC PA
560 MEMORIAL DR
POCATELLO, ID 83201-4073
Phone number: 208-234-1969
Copy
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