OrganizationActive
Idaho Ortho Spine, PLLC
NPI 1831020726 · Orthopaedic Surgery of the Spine Physician · Boise, ID
Provider details
- NPI number
- 1831020726
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ross Sherban, Member(801) 875-1120
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
115 W Main St Ste 102
Boise, ID 83702-7304
Phone: (801) 875-1120
Approximate (ZIP-level) locationGet directions
Mailing address
115 W Main St Ste 102
Boise, ID 83702-7304
Registry dates
- Enumerated
- 2026-05-28
- Last updated
- 2026-05-28
- Certified
- 2026-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.