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Organization
ELEVATE HEALTH GROUP PLLC
Active
Organization
ELEVATE HEALTH GROUP PLLC
Active
Other names
Keystone Physical Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORY M SARTIN (CLINIC DIRECTOR)
(208) 426-9200
Entity
Organization
Contact information
Practice address
420 W MAIN ST, #206, BOISE, ID 83702-7284
(208) 426-9200
Mailing address
PO BOX 2193, BOISE, ID 83701-2193
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
NP-1093A
ID
208VP0000X
Pain Medicine Physician
NP-1093A
ID
Other
Enumeration date
06/01/2015
Last updated
10/19/2015
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