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MOUNTAIN WEST SPINE LLC

Orthopaedic Surgery of the Spine Physician

NPI: 1982462008Organization

Specialties, Licenses & Credentials

Orthopaedic Surgery Physician

Orthopaedic Surgery

Code: 207X00000X

Clinic/Center

Clinic/Center

Code: 261Q00000X

Orthopaedic Surgery of the Spine PhysicianPrimary

Orthopaedic Surgery — Orthopaedic Surgery of the Spine

Code: 207XS0117X

Contact & Hours

Address
2960 E. ST. LUKES ST., STE. 200
MERIDIAN, ID 83642

Quick Facts

NPI
1982462008
Entity Type
Organization
Medicare
Not confirmed
Specialties
3
Locations
1

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