NPI age
20 years
Enumerated 2005-12-21
Across 239 active orthopaedic surgery providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (MN) | 084972300 | |
| 05 (WA) | 2048872 |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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