Organization
ORTHOPEDIC SURGERY AND SPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER C DUNTEMAN MD (OWNER/PARTNER)
(208) 664-2175
Entity
Organization
Contact information
Practice address
850 W IRONWOOD DR STE 202, COEUR D ALENE, ID 83814-4903
(208) 664-2175
(208) 664-1226
Mailing address
850 W IRONWOOD DR, SUITE 202, COEUR D ALENE, ID 83814-4903
(208) 664-2175
(208) 664-1226
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/19/2006
Last updated
05/20/2025
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