Orthoidaho LLC

NPI #1659870517 in Pocatello, Idaho

Provider Information

NPI Number: 1659870517
Entity Type: Organization
Organization Name: Orthoidaho LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Feb 6, 2018
Last Updated: Feb 6, 2018

Practice Location

Address: 2240 E CENTER ST
City: Pocatello
State: Idaho
ZIP Code: 83201-2600
Phone: (208) 233-2100

Authorized Official

Name: REBECCA J SMITH, CMPE
Title: PRACTICE ADMINISTRATOR
Phone: (208) 233-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Sports Medicine — Sports Medicine	207QS0010X
Orthopaedic Surgery - Orthopaedic Surgery of the Spine — Orthopaedic Surgery of the Spine	207XS0117X
Orthopaedic Surgery - Sports Medicine — Sports Medicine	207XX0005X
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X
Orthopaedic Surgery	207X00000X	Primary

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