Organization
SUMMIT ORTHOPAEDICS MANAGEMENT AND CONSULTING, LLC
Active
Other names
SUMMIT ORTHOPAEDICS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP MCCOWIN M.D. (PHYSICIAN/PARTNER)
(208) 227-1110
Entity
Organization
Contact information
Practice address
2321 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 227-1100
(208) 227-1087
Mailing address
2321 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 227-1100
(208) 227-1087
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806422900
—
ID
Enumeration date
10/03/2006
Last updated
07/18/2013
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