NPI 1104570084

Blackrock Orthopedic Specialists LLC

Organisation Orthopaedic Surgery Physician Meridian, ID

Practice location

Address: 2960 E. St. Lukes St. Suite 200, Meridian, ID 83642
Phone: (801) 928-8290

Authorised official

Name: Corbett Dee Winegar
Title: Owner
Phone: (801) 928-8290

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X

Other Orthopaedic Surgery providers in Idaho →

Registry record

NPI: 1104570084
Entity type: Organization
NPI issued: 9 Feb 2022
Record last updated: 18 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.