Organization · Type 2 NPI

Idaho Clinic

Adult Reconstructive Orthopaedic Surgery Physician · Boise, ID

NPI number 1225629074 Active

Practice location

8854 W Emerald St Ste 290
Boise, ID 83704-4846

Mailing address

1940 S Bonito Way Ste 190
Meridian, ID 83642-5618

Specialties and licenses

TaxonomyCodeLicense
Adult Reconstructive Orthopaedic Surgery Physician Primary 207XS0114XNone listed

Adult Reconstructive Orthopaedic Surgery Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

4 other providers at this address

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About NPI 1225629074

Idaho Clinic's National Provider Identifier is 1225629074, issued on Feb 3, 2021. The primary taxonomy on file is Adult Reconstructive Orthopaedic Surgery Physician (207XS0114X), and the practice location is in Boise, ID. The record was last updated on Mar 1, 2023.