Spine Institute of Idaho P a

NPI #1659380269 in Meridian, Idaho

Provider Information

NPI Number: 1659380269
Entity Type: Organization
Organization Name: Spine Institute of Idaho P a
Primary Specialty: Orthopaedic Surgery - Orthopaedic Surgery of the Spine
Enumeration Date: Aug 5, 2006
Last Updated: Oct 4, 2016

Practice Location

Address: 360 E MONTVUE DR
Address 2: SUITE 100
City: Meridian
State: Idaho
ZIP Code: 83642-6318
Phone: (208) 855-2900

Authorized Official

Name: MR. TYLER COOPER
Title: OFFICE ASST ADMINISTRATOR
Phone: (208) 855-2900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery - Orthopaedic Surgery of the Spine — Orthopaedic Surgery of the Spine	207XS0117X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
William Daniel Bradley, M.D.	Orthopaedic Surgery - Orthopaedic Surgery of the Spine	Meridian	AI Deep Dive
Samuel Steven Jorgenson, M.D.	Orthopaedic Surgery - Orthopaedic Surgery of the Spine	Meridian	AI Deep Dive
DR. Gregory Dean Dietrich, MD	Orthopaedic Surgery - Orthopaedic Surgery of the Spine	Lewiston	AI Deep Dive
DR. Roland Stanley Kent, MD	Orthopaedic Surgery - Orthopaedic Surgery of the Spine	Post Falls	AI Deep Dive

Organizations

Provider Name	Specialty	City
Mountain West Spine LLC	Orthopaedic Surgery - Orthopaedic Surgery of the Spine	Meridian	AI Deep Dive

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