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Contact Information

ANTHONY M BUONCRISTIANI, MD
660 2ND AVE S
UNIT A
KETCHUM, ID83340
 Phone: 208-622-3312
 Fax: 208-622-4919
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ANTHONY M BUONCRISTIANI · (Male)

NPI Number 1841246279
Status Active
Credentials MD
Entity Individual
Enumeration date 05/26/2006
Last updated 04/26/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-9501
  • ID Medicaid 807513700
  • ID Other P00381131 RR MEDICARE
Hospital affiliation(s)
  • ST LUKES WOOD RIVER MEDICAL CENTER - (Critical Access)
    100 HOSPITAL DRIVE
    KETCHUM, ID 83340
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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