OrganizationActive
Mountain West Spine LLC
NPI 1982462008 · Orthopaedic Surgery of the Spine Physician · Meridian, ID
Provider details
- NPI number
- 1982462008
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- William Bradley, Owner
Practice location
2960 E St Lukes St
Suite 200
Meridian, ID 83642-3506
Phone: (208) 992-5212
Mailing address
2960 E St Lukes St
Meridian, ID 83642
Registry dates
- Enumerated
- 2024-03-12
- Last updated
- 2025-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.