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Organization
ROCKY MOUNTAIN ORTHOPEDIC AND REGENERATIVE MEDICINE LLC
Active
Organization
ROCKY MOUNTAIN ORTHOPEDIC AND REGENERATIVE MEDICINE LLC
Active
Other names
Sensor Medica USA LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KENDON HOWARD (CEO)
(208) 425-6020
Entity
Organization
Contact information
Practice address
919 S UTAH AVE, IDAHO FALLS, ID 83402-3322
(208) 561-2286
Mailing address
919 S UTAH AVE, IDAHO FALLS, ID 83402-3322
(208) 561-2286
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2083S0010X
Sports Medicine (Preventive Medicine) Physician
—
—
213E00000X
Podiatrist
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
01/23/2020
Last updated
02/09/2022
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