Organization
BOOST ORTHOPEDICS AND SPORTS MEDICINE CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARA WALTHER MD (CEO)
(541) 410-5081
Entity
Organization
Contact information
Practice address
241 SKIWAY DRIVE, KETCHUM, ID 83340-8334
(541) 410-5081
(208) 203-1893
Mailing address
PO BOX 1236, KETCHUM, ID 83340-1231
(541) 410-5081
(208) 203-1893
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
02/22/2021
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