Individual
CHRISTOPHER DESUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1075 N CURTIS RD STE 300, BOISE, ID 83706-1348
(208) 302-3100
(208) 302-3155
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
58450
AZ
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
58450
AZ
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
M-16740
ID
Other
Enumeration date
08/19/2019
Last updated
08/22/2022
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