OrganizationActive
Blackrock Orthopedic Specialists LLC
NPI 1104570084 · Orthopaedic Surgery Physician · Meridian, ID
Provider details
- NPI number
- 1104570084
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Corbett Winegar, Owner
Practice location
2960 E. St. Lukes St.
Suite 200
Meridian, ID 83642
Phone: (801) 928-8290
Mailing address
2960 E. St. Lukes St.
Meridian, ID 83642
Registry dates
- Enumerated
- 2022-02-09
- Last updated
- 2022-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.