THE SHOULDER CLINIC OF IDAHO PLLC

BOISE, ID
NPI1821164138
Entity TypeOrganization
Authorized ContactTHOMAS EARL GOODWIN
Owner
208-323-4747
Organization Subpart ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
Enumeration Date2006-11-28
Last Update Date2023-03-14
Business Address
THE SHOULDER CLINIC OF IDAHO PLLC
8854 W EMERALD ST STE 102
BOISE, ID 83704-4844
Phone number: 208-323-4747
Mailing Address
THE SHOULDER CLINIC OF IDAHO PLLC
1940 S BONITO WAY STE 190
MERIDIAN, ID 83642-5618
Phone number: 208-287-9420
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