| NPI | 1780366195 |
|---|---|
| Doing Business As | MAGIC VALLEY ORTHOPEDICS |
| Entity Type | Organization |
| Authorized Contact | AMBER LOUISE RAMSEY Credentialing Manager 208-212-7196 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | |
| 208200000X Plastic Surgery | |
| 363AS0400X Physician Assistant, Surgical | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2025-01-17 |