Organization
BMH INC.
Active
Other names
Idaho Orthopaedic & Sports Clinic, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
D. JEFF DANIELS (CEO)
(208) 785-3803
Entity
Organization
Contact information
Practice address
560 MEMORIAL DR, POCATELLO, ID 83201-4070
(208) 234-1960
Mailing address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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