NPI age
20 years
Enumerated 2005-09-29
Across 10 active allergy & immunology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002736101 | |
| 05 (ID) | 002736100 | |
| 05 (ID) | 002736102 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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