Idaho State Sports Medicine – Family Medicine Physician, NPI 1801292115
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Idaho State Sports Medicine
5050 SPRING VALLEY RD
DALLAS, TX 752443995
Phone: (800) 555-9073
Fax: (972) 367-3452
Type: Mailing
921 S 8TH AVE STOP 8173
SPORTS AND ORTHOPAEDIC CENTER
POCATELLO, ID 832098173
Phone: (208) 282-3408
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75244)
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