Orthopaedic Trauma Consultants of Idaho

NPI #1336907450 in Meridian, Idaho

Provider Information

NPI Number: 1336907450
Entity Type: Organization
Organization Name: Orthopaedic Trauma Consultants of Idaho
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Mar 12, 2024
Last Updated: Apr 9, 2024

Practice Location

Address: 875 S VANGUARD WAY STE 110
City: Meridian
State: Idaho
ZIP Code: 83642-8541
Phone: (208) 595-4440

Authorized Official

Name: JESSE DYLAN CHLEBECK, MD
Title: OWNER
Phone: (208) 595-4440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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