East Idaho Orthopaedics, Pllc
NPI #1144413154 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1144413154
- Entity Type
- Organization
- Organization Name
- East Idaho Orthopaedics, Pllc
- Primary Specialty
- Orthopaedic Surgery - Sports Medicine
- Enumeration Date
- Aug 22, 2007
- Last Updated
- Nov 12, 2025
Practice Location
- Address
- 2210 CORONADO ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7430
- Phone
- (208) 522-3355
Authorized Official
- Name
- JOSEPH R LILJENQUIST, MD
- Title
- PRESIDENT
- Phone
- (208) 522-3355
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
| Orthopaedic Surgery - Sports Medicine — Sports Medicine |
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