| Advanced Orthopedics And Sports Medicine Pllc | |
|
1411 Falls Ave E Ste 1301 Twin Falls ID 83301-3467 | |
| (208) 731-2351 | |
| Not Available |
| Full Name | Advanced Orthopedics And Sports Medicine Pllc |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 1411 Falls Ave E Ste 1301, Twin Falls, Idaho |
| Authorized Official Name and Position | Chad Johnson (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2087312351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Orthopedics And Sports Medicine Pllc 1411 Falls Ave E Ste 1301 Twin Falls ID 83301-3467 Ph: () - | Advanced Orthopedics And Sports Medicine Pllc 1411 Falls Ave E Ste 1301 Twin Falls ID 83301-3467 Ph: (208) 731-2351 |
| NPI Number | 1508611591 |
|---|---|
| Provider Enumeration Date | 04/22/2024 |
| Last Update Date | 07/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508611591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
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