# TWIN FALLS ORTHOPEDICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053589432
- **Authorized official:** TAMI CHARLTON (OFFICE MANAGER)
- **Authorized official phone:** (208) 734-3455

## Contact information

- **Practice address:** 562 SHOUP AVE W, TWIN FALLS, ID 83301-5029
- **Practice address phone:** (208) 734-3455
- **Practice address fax:** (208) 733-7389
- **Mailing address:** 562 SHOUP AVE W, TWIN FALLS, ID 83301-5029
- **Mailing address phone:** (208) 734-3455
- **Mailing address fax:** (208) 733-7389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | N24873 | ID | Yes |

## Other

- **Enumeration date:** 02/19/2008
- **Last updated:** 02/19/2008