NPI | 1558468439 |
---|---|
Doing Business As | RIVERSEDGE ORTHOPEDICS |
Entity Type | Organization |
Authorized Contact | SPENCER D GREENDYKE Physician 208-277-1060 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: ID M9110) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2012-02-24 |