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NPI Verification

National Provider Identifier: 1992663595

Altitude Sport & Spine PLLC

Organization

Primary Specialty

Family Medicine, Sports Medicine

Code: 207QS0010X

Practice Address

1582 ELK CREEK DR

IDAHO FALLS, ID 834048322

Phone: 208-213-5256

NPI Enumeration Date

January 13, 2026

NPI Number

1992663595

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Altitude Sport & Spine PLLC - NPI 1992663595 | Provider Verification | HormoneMap