Organization
ORTHOPEDIC HEALTH CARE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL CALVIN COLLINS M.D. (MD/OWNER)
(208) 287-0203
Entity
Organization
Contact information
Practice address
3875 E OVERLAND RD, MERIDIAN, ID 83642-9005
(208) 287-0203
(208) 288-5490
Mailing address
PO BOX 9515, BOISE, ID 83707-9515
(208) 287-0203
(208) 288-5490
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
M4426
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807255800
—
ID
Enumeration date
06/02/2006
Last updated
07/13/2013
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