Organization
BLACKROCK ORTHOPEDIC SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORBETT DEE WINEGAR MD (OWNER)
(801) 928-8290
Entity
Organization
Contact information
Practice address
2960 E. ST. LUKES ST., SUITE 200, MERIDIAN, ID 83642
(801) 928-8290
Mailing address
2960 E. ST. LUKES ST., SUITE 200, MERIDIAN, ID 83642
(801) 928-8290
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/18/2022
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