Organization
ORTHOPEDIC SURGERY AND SPORTS
Active
Parent organization
ORTHOPEDIC SURGERY AND SPORTS
Other names
Orthopedic Physical Therapy Institute
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOPEDIC SURGERY AND SPORTS
Authorized official
ROGER DUNTEMAN MD (OWNER)
(208) 664-2175
Entity
Organization
Contact information
Practice address
8468 N WAYNE DR, HAYDEN, ID 83835
(208) 966-4475
Mailing address
850 W IRONWOOD DR STE 202, COEUR D ALENE, ID 83814-4903
(208) 664-2175
(208) 770-2242
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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