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

Spine Institute of Idaho P A

Organization Orthopaedic Surgery of the Spine Physician · NPI 1659380269

Spine Institute of Idaho P A is an Orthopaedic Surgery of the Spine Physician in Meridian, Idaho. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

360 E Montvue Dr Ste 100
Meridian, ID 83642-6318
Phone: (208) 855-2900
Fax: (208) 898-9877
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X

Record details

NPI number1659380269
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyler Cooper — Office Asst Administrator · (208) 855-2900
NPI enumeratedAugust 5, 2006
Last updated in NPPESOctober 4, 2016
Mailing address360 E Montvue Dr, Suite 100, Meridian, ID 83642-6318

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