Sun Valley Sports Medicine, P.a.

NPI 1124061163 - Orthopaedic Surgery - 207XX0005X

NPI Details
NPI 1124061163
Enumeration Date 06/14/2006
Last Updated 06/17/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name STEPHEN STEPHEN
Position PHYSICIAN
Phone (208) 726-5207
Fax (208) 726-8948
Practice Location
191 5TH ST W
KETCHUM ID, 83340, US
Phone (208) 726-5207
Fax (208) 726-8948
Business Location
191 5TH ST W
KETCHUM ID, 83340, US
Phone (208) 726-5207
Fax (208) 726-8948
Toxanomy
Taxonomy Code 207XX0005X
License State
License Number
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According to our database, Sun Valley Sports Medicine, P.a. NPI is 1124061163, taxonomy code is 207XX0005X Sun Valley Sports Medicine, P.a. physically located at 191 5th St W, Ketchum ID, 83340. NPI Number 1033115704 has the healthcare provider type.

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1124061163 NPI number is provided on an as is basis without warranty of any kind. 1124061163 is maintained by the National Plan & Provider Enumeration System. The contents of Sun Valley Sports Medicine, P.a. are for informational purposes only.