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Organization

DEWING SPORTS ORTHOPEDIC SURGERY PC

Active
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Organization

DEWING SPORTS ORTHOPEDIC SURGERY PC

Active
Other names
Dewing Sports Orthopedic Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTOPHER BATEMAN DEWING MD (SOLE OWNER)
(208) 618-6070
Entity
Organization

Contact information

Practice address
1610 E SCHNEIDMILLER AVE, POST FALLS, ID 83854-7065
(208) 618-6070
(208) 618-8903
Mailing address
PO BOX 1479, POST FALLS, ID 83877-1479
(208) 618-6070
(208) 618-8903

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
261QM1300X
Multi-Specialty Clinic/Center
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
363A00000X
Physician Assistant
363AS0400X
Surgical Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
11/17/2021
Last updated
12/14/2024
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