Provider Demographics
NPI:1386509552
Name:INSTANT ORTHO SUPPLY, LLC
Entity type:Organization
Organization Name:INSTANT ORTHO SUPPLY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SYBROWSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:385-275-2110
Mailing Address - Street 1:75 E 12300 S
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-8073
Mailing Address - Country:US
Mailing Address - Phone:385-275-2110
Mailing Address - Fax:
Practice Address - Street 1:75 E 12300 S
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-8073
Practice Address - Country:US
Practice Address - Phone:385-275-2110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-19
Last Update Date:2025-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty