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Organization

TADJE ORTHOPAEDICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LACEY MADRIGAL (PROVIDER RELATIONS MGR)
(208) 515-2654
Entity
Organization

Contact information

Practice address
2365 E GALA ST STE 1, MERIDIAN, ID 83642
(208) 515-2654
(877) 587-3112
Mailing address
1940 S BONITO WAY STE 190, MERIDIAN, ID 83642-5618
(208) 287-9420

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M-9901
ID

Other

Enumeration date
09/10/2015
Last updated
02/27/2023
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