NPI age
20 years
Enumerated 2006-05-11
Across 239 active orthopaedic surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010005805 | REGENCE BLUE SHIELD |
| 01 (ID) | P00297173 | TRAVELERS MEDICARE |
| 05 (ID) | 003748000 | |
| 01 (ID) | 49072 | BLUE CROSS |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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