OrganizationActive
Altitude Sport & Spine PLLC
NPI 1992663595 · Sports Medicine (Family Medicine) Physician · Idaho Falls, ID
Provider details
- NPI number
- 1992663595
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Joshua Sirucek, Owner
Mailing address
1582 Elk Creek Dr
Idaho Falls, ID 83404-8322
Registry dates
- Enumerated
- 2026-01-13
- Last updated
- 2026-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.