| NPI | 1780366195 |
|---|---|
| Doing Business As | MAGIC VALLEY ORTHOPEDICS |
| Entity Type | Organization |
| Authorized Contact | AMBER LOUISE RAMSEY Credentialing Manager 208-212-7196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2024-09-10 |