| NPI | 1902854433 |
|---|---|
| Former Legal Business Name | ORTHOPAEDIC ASSOCIATES, PA |
| Entity Type | Organization |
| Authorized Contact | LISA JACK Practice Manager 208-321-4790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 208800000X Urology | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2023-06-15 |