OrganizationActive
Advanced Orthopedics and Sports Medicine PLLC
NPI 1508611591 · Sports Medicine (Family Medicine) Physician · Twin Falls, ID
Provider details
- NPI number
- 1508611591
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Chad Johnson, Physician/Owner
Practice location
1411 Falls Ave E Ste 1301
Twin Falls, ID 83301-3467
Phone: (208) 731-2351
Mailing address
1411 Falls Ave E Ste 1301
Twin Falls, ID 83301-3467
Registry dates
- Enumerated
- 2024-04-22
- Last updated
- 2024-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.