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Organization

IDAHO ORTHO SPINE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROSS SHERBAN DO (MEMBER)
(801) 875-1120
Entity
Organization

Contact information

Practice address
115 W MAIN ST STE 102, BOISE, ID 83702-7304
(801) 875-1120
Mailing address
115 W MAIN ST STE 102, BOISE, ID 83702-7304
(801) 875-1120

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary

Other

Enumeration date
05/28/2026
Last updated
05/28/2026
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