NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1992208631
ORTHOPEDIC SURGERY AND SPORTS
850 W IRONWOOD DR STE 202
COEUR D ALENE
ID
838144903
1144408618
JESSUP
STEVEN
I
980 IRONWOOD DR.
COEUR D ALENE
ID
83814
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