Blackrock Orthopedic Specialists LLC

NPI #1104570084 in Meridian, Idaho

Provider Information

NPI Number: 1104570084
Entity Type: Organization
Organization Name: Blackrock Orthopedic Specialists LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Feb 9, 2022
Last Updated: Feb 18, 2022

Practice Location

Address: 2960 E. ST. LUKES ST.
Address 2: SUITE 200
City: Meridian
State: Idaho
ZIP Code: 83642
Phone: (801) 928-8290

Authorized Official

Name: CORBETT DEE WINEGAR, MD
Title: OWNER
Phone: (801) 928-8290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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