| NPI | 1821036724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M CHRISTENSEN Owner 208-732-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-10-01 |