SPINE INSTITUTE OF IDAHO P A is an orthopaedic surgery of the spine orthopaedic surgery in Meridian, ID. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. SPINE INSTITUTE OF IDAHO P A NPI is 1659380269. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
360 E MONTVUE DR
SUITE 100
MERIDIAN, ID
ZIP 83642-318
Phone: (208) 855-2900
Fax: (208) 898-9877
The provider's authorized official is Tyler Cooper .
The authorized official title is OFFICE ASST ADMINISTRATORAsst Administrator and has the following contact phone number (208) 855-2900.
The CLIA number assigned to this NPI record is 13D2099311 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/5/2006 and was last updated on 10/4/2016.