NPI 1336907450

Orthopaedic Trauma Consultants of Idaho

Organisation Orthopaedic Surgery Physician Meridian, ID

Practice location

Address: 875 S Vanguard Way STE 110, Meridian, ID 83642-8541
Phone: (208) 595-4440
Fax: (855) 592-2514

Authorised official

Name: Jesse Dylan Chlebeck
Title: Owner
Phone: (208) 595-4440

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X

Other Orthopaedic Surgery providers in Idaho →

Registry record

NPI: 1336907450
Entity type: Organization
NPI issued: 12 Mar 2024
Record last updated: 9 Apr 2024

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.