Organization
SAWTOOTH ORTHOPEDIC & FRACTURE CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELMER F PLETCHER MD (OWNER)
(208) 622-3311
Entity
Organization
Contact information
Practice address
100 HOSPITAL DR, SUITE 107, KETCHUM, ID 83340
(208) 622-3311
(208) 622-4919
Mailing address
PO BOX 1332, SUN VALLEY, ID 83353-1332
(208) 622-3311
(208) 622-4919
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
M3574
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1111633
—
ID
Enumeration date
05/08/2008
Last updated
03/11/2009
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