Healthcare Provider Details
I. General information
NPI: 1750563540
Provider Name (Legal Business Name): ALLIED ORTHOPAEDICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/04/2007
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10178 W FAIRVIEW AVE STE 105
BOISE ID
83704-8117
US
IV. Provider business mailing address
3015 E MAGIC VIEW DR STE 130
MERIDIAN ID
83642-3750
US
V. Phone/Fax
- Phone: 208-855-2410
- Fax: 208-855-0157
- Phone: 208-855-2410
- Fax: 208-855-0157
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | TEMP |
| License Number State | ID |
VIII. Authorized Official
Name:
WILLIAM
LINDNER
Title or Position: PARTNER
Credential: MD
Phone: 208-855-2410