Organization
ROMAN SCHWARTSMAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI J SARICH (OFFICE MANAGER)
(208) 377-4003
Entity
Organization
Contact information
Practice address
6590 W NORWOOD DR, BOISE, ID 83704
(208) 377-4003
(208) 377-9006
Mailing address
6590 W NORWOOD DR, BOISE, ID 83704
(208) 377-4003
(208) 377-9006
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M8579
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010032353
REGENCE BLUE SHIELD #
ID
01
—
53595
BLUE CROSS OF IDAHO #
ID
05
—
806585100
—
ID
Enumeration date
02/21/2007
Last updated
11/07/2011
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