Organization
SUMMIT ORTHOPAEDICS MANAGEMENT AND CONSULTING, LLC
Active
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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