Individual
DR. JOHN G KLOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 N CURTIS RD, SUITE 304, BOISE, ID 83706-1341
(208) 342-4263
(208) 375-0597
Mailing address
901 N CURTIS RD, SUITE 304, BOISE, ID 83706-1341
(208) 342-4263
(208) 375-0597
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
M-4164
ID
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
M-4164
ID
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
M-4164
ID
207XX0801X
Orthopaedic Trauma Physician
M-4164
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003785200
—
ID
Enumeration date
07/25/2006
Last updated
05/01/2012
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