institution
Idaho Orthopedic & Sports Clinic Pa
Multi-Specialty Clinic/Center in Pocatello, Idaho
NPI 1538238571

Idaho Orthopedic & Sports Clinic Pa is a Multi-Specialty Clinic/Center based in Pocatello, ID and is specialized in Multi-Specialty. Idaho Orthopedic & Sports Clinic Pa practices in Pocatello, ID. The NPI Number for Idaho Orthopedic & Sports Clinic Pa is 1538238571 and holds a License No. (Idaho).

The current practice location address for Idaho Orthopedic & Sports Clinic Pa is 560 Memorial Dr, Pocatello, ID and can be reached out via phone at 208-234-1969 and via fax at 208-233-5033.

Location: 560 Memorial Dr, Pocatello, ID, 83201-4073
institution
Provider Profile Details
NPI Number
1538238571
Provider Name
Idaho Orthopedic & Sports Clinic Pa
Credential
Provider Entity Type
Organization
Address
560 Memorial Dr, Pocatello, ID, 83201-4073
Phone Number
208-234-1969
Fax Number
208-233-5033
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
805136500 05 ID
institution
Provider Business Practice Location Address Details
Address
560 Memorial Dr
City
State
Zip
83201-4073
Phone Number
208-234-1969
Fax Number
208-233-5033
person
Provider Business Mailing Address Details
Address
560 Memorial Dr
City
State
Zip
83201-4073
Phone Number
208-234-1969
Fax Number
208-233-5033
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
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