Ada Orthopaedic Clinic

NPI #1386806347 in Boise, Idaho

Provider Information

NPI Number: 1386806347
Entity Type: Organization
Organization Name: Ada Orthopaedic Clinic
Primary Specialty: Specialist
Enumeration Date: Jun 30, 2008
Last Updated: Jun 30, 2008

Practice Location

Address: 6500 W EMERALD ST
City: Boise
State: Idaho
ZIP Code: 83704-8736
Phone: (208) 377-0777

Authorized Official

Name: JOYCE L COOPER
Title: OFFICE MANAGER
Phone: (208) 377-0777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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