| NPI | 1740553361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON JOHN ALTENBURG Owner 208-233-8344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ID M-10209) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2013-12-10 |