# TETON SURGICAL SPECIALTIES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Teton Hand Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043779127
- **Authorized official:** BRUCE JAMES WATKINS (MD)
- **Authorized official phone:** (844) 919-4263

## Contact information

- **Practice address:** 1540 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
- **Practice address phone:** (844) 919-4263
- **Practice address fax:** (833) 513-0980
- **Mailing address:** 1540 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
- **Mailing address phone:** (844) 919-4263
- **Mailing address fax:** (833) 513-0980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | NULL | Yes |
| 2086S0105X | Surgery of the Hand (Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/18/2019
- **Last updated:** 08/27/2026