NPI age
19 years
Enumerated 2006-07-27
Across 146 active audiologist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 004413800 | |
| 01 (ID) | AU787 | BLUE CROSS GROUP # AU753 |
Solo or small practice. No other active providers share this practice address in NPPES.
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