# SAWTOOTH ORTHOPEDIC & FRACTURE CLINIC, PA

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

## Provider details

- **NPI number:** 1174790257
- **Authorized official:** DR. DELMER F PLETCHER MD (OWNER)
- **Authorized official phone:** (208) 622-3311

## Contact information

- **Practice address:** 100 HOSPITAL DR, SUITE 107, KETCHUM, ID 83340
- **Practice address phone:** (208) 622-3311
- **Practice address fax:** (208) 622-4919
- **Mailing address:** PO BOX 1332, SUN VALLEY, ID 83353-1332
- **Mailing address phone:** (208) 622-3311
- **Mailing address fax:** (208) 622-4919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | M3574 | ID | Yes |

## Other

- **Enumeration date:** 05/08/2008
- **Last updated:** 03/11/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1111633 | — | ID |