Organization
ANTHONY MAISIN BUONCRISTIANI, MD
Active
Organization
ANTHONY MAISIN BUONCRISTIANI, MD
Active
Other names
SAWTOOTH ORTHOPEDIC AND SPORTS MEDICINE, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY M BUONCRISTIANI M.D. (PHYSICIAN)
(208) 622-3312
Entity
Organization
Contact information
Practice address
660 2ND AVE S, UNIT A, KETCHUM, ID 83340
(208) 622-3312
(208) 622-4919
Mailing address
PO BOX 1332, SUN VALLEY, ID 83353-1332
(208) 622-3312
(208) 622-4919
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807513700
—
ID
01
—
DF6382
RR MEDICARE
ID
Enumeration date
07/18/2006
Last updated
04/26/2024
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