Organization
IDAHO JOINT AND SPINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES AROET WHITAKER D.O. (PRESIDENT)
(208) 322-5922
Entity
Organization
Contact information
Practice address
9510 W FAIRVIEW AVE, BOISE, ID 83704-8103
(208) 322-5922
(208) 323-1386
Mailing address
9510 W FAIRVIEW AVE, BOISE, ID 83704-8103
(208) 322-5922
(208) 323-1386
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
O-0794
ID
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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