Organization
SANDPOINT ORTHOPEDICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARCY SUE TAYLOR (OFFICE MANAGER)
(208) 263-8597
Entity
Organization
Contact information
Practice address
606 N 3RD AVE STE 201, SANDPOINT, ID 83864-1689
(208) 263-8597
(208) 265-0667
Mailing address
606 N 3RD AVE STE 201, SANDPOINT, ID 83864-1689
(208) 263-8597
(208) 265-0667
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010149140
REGENCE BLUE SHIELD
ID
01
—
1009215
IDAHO STATE INSURANCE
ID
05
—
1861589236
—
MT
01
—
360191400
US DEPT OF LABOR
ID
05
—
7134737
—
WA
05
—
808300500
—
ID
01
—
8M799
BLUE CROSS
ID
01
—
DE2554
RAILROAD MEDICARE
ID
Enumeration date
10/06/2006
Last updated
12/28/2010
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