Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Riverside Orthopedic Clinic

Organization Orthopaedic Surgery Physician · NPI 1417326968

Riverside Orthopedic Clinic is an Orthopaedic Surgery Physician in Fruitland, Idaho. Licensed in Idaho. Registered with an NPI since 2015.

Licensed in
ID
In the registry since
2015
Specialties on file
2

Practice location Address checks out

910 NW 16th St #205
Fruitland, ID 83619-2265
Phone: (208) 452-3111
Fax: (208) 452-3666
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence M-10556 (ID)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence M-10864 (ID)

Record details

NPI number1417326968
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer White — Office Manager · (208) 452-3111
NPI enumeratedSeptember 15, 2015
Last updated in NPPESSeptember 15, 2015
Mailing address910 Nw 16th St, 205, Fruitland, ID 83619-2265

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