NPI age
20 years
Enumerated 2006-03-23
Across 25 active thoracic surgery (cardiothoracic vascular surgery) providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (WV) | 0129142000 | |
| 01 (WV) | 550357050 | UNITED MINE WORKERS |
| 01 (WV) | 000023797 | BCBS MOUNTAIN STATE |
| 01 (WV) | 030028200 | BLACK LUNG |
| 05 (OH) | 0289272 | |
| 05 (KY) | 64942469 |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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