Organization
IDAHO CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED ARMSTRONG MD (OWNER)
(206) 300-8584
Entity
Organization
Contact information
Practice address
8854 W EMERALD ST STE 290, BOISE, ID 83704-4846
(208) 287-9420
Mailing address
1940 S BONITO WAY STE 190, MERIDIAN, ID 83642-5618
(208) 287-9420
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
03/01/2023
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