Organization
ORTHOPEDIC & FRACTURE CLINIC PA
Active
Other names
WEST IDAHO ORTHOPEDICS & SPORTS MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL T. DAINES M.D. (PARTNER)
(208) 459-4511
Entity
Organization
Contact information
Practice address
1906 FAIRVIEW AVE STE 400, CALDWELL, ID 83605-5424
(208) 459-4511
(208) 459-6602
Mailing address
1906 FAIRVIEW AVE STE 400, CALDWELL, ID 83605-5424
(208) 459-4511
(208) 459-6602
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
ID
Other
Enumeration date
08/20/2006
Last updated
08/12/2024
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