Organization
TETON SURGICAL SPECIALTIES PLLC
Active
Other names
Teton Hand Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JAMES WATKINS (OWNER / MD)
(844) 919-4263
Entity
Organization
Contact information
Practice address
1542 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(844) 919-4263
(833) 513-0980
Mailing address
1542 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(844) 919-4263
(833) 513-0980
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326240425
—
ID
Enumeration date
03/18/2019
Last updated
03/10/2025
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