Organization
VERST SPINE & ORTHOPEDIC CARE,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOY ELAINE JEX (FINANCIAL MANAGER)
(208) 788-7779
Entity
Organization
Contact information
Practice address
15 WEST GALENA ST, HAILEY, ID 83333
(208) 788-7779
(208) 788-7784
Mailing address
15 WEST GALENA ST, HAILEY, ID 83333
(208) 788-7779
(208) 788-7784
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
M8204
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806197100
—
ID
Enumeration date
06/12/2006
Last updated
04/16/2013
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