specializing in orthopaedic surgery in Blackfoot, Idaho
NPI: 1922512722
Provider Type
2
Practice Locations
Mailing Location
98 POPLAR ST
BLACKFOOT, ID 83221
Practice Location
Provider Information
Gender:
Sole Proprietor:No
Enumeration Date:12/1/2017
Last Updated:8/14/2019
Credentials
Primary Credential: