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1811035090
HUNTSMAN ORTHOPAEDIC SURGERY & SPORTS MEDICINEPA
IDAHO FALLS, ID
NPI
1811035090
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Entity Type
Organization
Authorized Contact
CASEY I HUNTSMAN
President
208-522-6662
Organization Subpart ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: ID M8232)
Enumeration Date
2007-02-01
Last Update Date
2008-04-20
Business Address
HUNTSMAN ORTHOPAEDIC SURGERY & SPORTS MEDICINEPA
3300 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7592
Phone number: 208-522-6662
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Mailing Address
HUNTSMAN ORTHOPAEDIC SURGERY & SPORTS MEDICINEPA
3300 WASHINGTON PARKWAY
IDAHO FALLS, ID 83404-7592
Phone number: 208-522-6662
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