| Dewing Sports Orthopedic Surgery | |
|
1610 E Schneidmiller Ave Post Falls ID 83854-7065 | |
| (208) 618-6070 | |
| (208) 618-8903 |
| Full Name | Dewing Sports Orthopedic Surgery |
|---|---|
| Speciality | Clinic/Center |
| Location | 1610 E Schneidmiller Ave, Post Falls, Idaho |
| Authorized Official Name and Position | Christopher Bateman Dewing (SOLE OWNER) |
| Authorized Official Contact | 2086186070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dewing Sports Orthopedic Surgery Po Box 1479 Post Falls ID 83877-1479 Ph: (208) 618-6070 | Dewing Sports Orthopedic Surgery 1610 E Schneidmiller Ave Post Falls ID 83854-7065 Ph: (208) 618-6070 |
| NPI Number | 1093472748 |
|---|---|
| Provider Enumeration Date | 11/17/2021 |
| Last Update Date | 03/31/2023 |
| Medicare PECOS PAC ID | 8628469814 |
|---|---|
| Medicare Enrollment ID | O20211223000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093472748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Amanda Dee Roby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225388028 PECOS PAC ID: 8820231269 Enrollment ID: I20140603001846 |
| Provider Name | Christopher Bateman Dewing |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477608875 PECOS PAC ID: 7113087693 Enrollment ID: I20201214002550 |
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