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Contact Information

ANTHONY MAISIN 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 MAISIN BUONCRISTIANI, MD

NPI # 1497774772
LBN Legal business name ANTHONY MAISIN BUONCRISTIANI, MD
Authorized official ANTHONY BUONCRISTIANI - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 07/18/2006
Last updated 04/26/2024 - About 2 years ago
Identifiers
ID Medicaid 807513700
ID Other DF6382 RR MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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