Organization
ORTHOPAEDIC SPECIALISTS OF IDAHO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HASSINGER MD (MANAGER)
(208) 321-4000
Entity
Organization
Contact information
Practice address
7979 W RIFLEMAN ST, BOISE, ID 83704-9066
(208) 321-4000
(208) 855-0157
Mailing address
7979 W RIFLEMAN ST, BOISE, ID 83704-9066
(208) 321-4000
(208) 855-0157
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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