Individual
DR. RONALD M KRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
703 S AMERICANA BLVD, SUITE 120, BOISE, ID 83702-5099
(208) 323-2600
(208) 323-9172
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 323-2600
(208) 323-9172
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M-6903
ID
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
M-6903
ID
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
M-6903
ID
207XX0801X
Orthopaedic Trauma Physician
M-6903
ID
Other
Enumeration date
08/10/2006
Last updated
02/15/2011
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