Mountain West Spine LLC

NPI #1982462008 in Meridian, Idaho

Provider Information

NPI Number
1982462008
Entity Type
Organization
Organization Name
Mountain West Spine LLC
Primary Specialty
Orthopaedic Surgery - Orthopaedic Surgery of the Spine
Enumeration Date
Mar 12, 2024
Last Updated
Dec 4, 2025

Practice Location

Address
2960 E ST LUKES ST
Address 2
SUITE 200
State
Idaho
ZIP Code
83642-3506
Phone
(208) 992-5212

Authorized Official

Name
WILLIAM BRADLEY, MD
Title
OWNER
Phone
(208) 992-5212

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery
Clinic/Center
Orthopaedic Surgery - Orthopaedic Surgery of the SpineOrthopaedic Surgery of the Spine

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Provider Name
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