Organization Name: | ORTHOPEDIC SURGERY AND SPORTS |
NPI Number: | 1083729438 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROGER C. DUNTEMAN (OWNER/PARTNER) |
Mailing Address: | 850 W Ironwood Dr Suite 202 Coeur D Alene |
State: | ID US |
Postal Code: | 838144903 |
Phone Number: | 2086642175 |
Fax Number: | 2086641226 |
NPI Enumeration Date: | 08/19/2006 |
NPI Last Update Date: | 12/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |