Idaho Orthopedic & Sports Clinic PA
NPI #1538238571 in Pocatello, Idaho
Provider Information
- NPI Number
- 1538238571
- Entity Type
- Organization
- Organization Name
- Idaho Orthopedic & Sports Clinic PA
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Nov 6, 2006
- Last Updated
- Jul 30, 2015
Practice Location
Authorized Official
- Name
- RYAN HALL
- Title
- ADMINISTRATOR
- Phone
- (208) 234-1960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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