Organization
INTERMOUNTAIN ORTHOPAEDIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD ARTHUR KING MD (OWNER/PARTNER)
(208) 383-0201
Entity
Organization
Contact information
Practice address
600 N. ROBBINS RD, STE 401, BOISE, ID 83702-4539
(208) 383-0201
(208) 489-4300
Mailing address
PO BOX 8886, BELFAST, ME 04915-8886
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006178
BLUESHIELD
ID
01
—
614389500
OWCP
ID
01
—
88815
BLUECROSS
ID
01
—
DP2117
MEDICARE RR
ID
Enumeration date
11/03/2008
Last updated
11/15/2010
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