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Organization
TWIN FALLS ORTHOPEDICS PLLC
Active
Organization
TWIN FALLS ORTHOPEDICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI CHARLTON (OFFICE MANAGER)
(208) 734-3455
Entity
Organization
Contact information
Practice address
562 SHOUP AVE W, TWIN FALLS, ID 83301-5029
(208) 734-3455
(208) 733-7389
Mailing address
562 SHOUP AVE W, TWIN FALLS, ID 83301-5029
(208) 734-3455
(208) 733-7389
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP710A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8072056
—
ID
Enumeration date
07/02/2007
Last updated
08/22/2020
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