Organization
BOOST ORTHOPEDICS AND SPORTS MEDICINE CONSULTING
Active
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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