An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring...
taxonomy 335E00000X
Identifiers
Type
Value
Notes
01 (ID)
000010147985
BLUE SHIELD OF IDAHO
01 (ID)
8J604
BLUE CROSS OF IDAHO
05 (ID)
002728201
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Coyote Prosthetics & Orthotics
Type code 3recorded 2017-04-24
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
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