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Organization

INTERMOUNTAIN SPINE AND ORTHOPEDICS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID M CHRISTENSEN MD (OWNER)
(208) 732-0067
Entity
Organization

Contact information

Practice address
1411 FALLS AVE E, SUITE 1301, TWIN FALLS, ID 83301-3455
(208) 732-0067
(208) 732-3195
Mailing address
1411 FALLS AVE E STE 1301, TWIN FALLS, ID 83301-3467
(208) 732-0067
(208) 732-3195

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
261QU0200X
Urgent Care Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010148684
BLUE SHIELD
ID
05
807012500
ID
01
8J828
BLUE CROSS
ID
01
DC8006
RR MEDICARE
ID
Enumeration date
06/03/2006
Last updated
10/01/2020
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