Organization
BOISE SPINE SURGERY P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH M VERSKA M.D. (OWNER/PRESIDENT)
(208) 378-7700
Entity
Organization
Contact information
Practice address
8756 W. EMERALD STREET, SUITE 176, BOISE, ID 83704-4834
(208) 378-7700
(208) 378-7701
Mailing address
8756 W. EMERALD STREET, SUITE 176, BOISE, ID 83704-4834
(208) 378-7700
(208) 378-7701
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
M-6736
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2754500
—
ID
Enumeration date
09/28/2011
Last updated
01/08/2013
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