East Idaho Orthopaedics Pllc

NPI #1295189918 in Idaho Falls, Idaho

Provider Information

NPI Number: 1295189918
Entity Type: Organization
Organization Name: East Idaho Orthopaedics Pllc
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Apr 19, 2016
Last Updated: Apr 19, 2016

Practice Location

Address: 3405 MERLIN DR
City: Idaho Falls
State: Idaho
ZIP Code: 83404-7430
Phone: (208) 522-3355

Authorized Official

Name: MRS. ALEXIS L BERGESON
Title: PRACTICE MANAGER
Phone: (208) 932-4133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary
Orthopaedic Surgery - Sports Medicine — Sports Medicine	207XX0005X

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