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 |