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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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