NPI age
19 years
Enumerated 2006-08-05
Across 69 active neurological surgery providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 72504 | BLUE CROSS OF IDAHO |
| 01 (OR) | 134024 | OMAP |
| 05 (ID) | 805457400 | |
| 05 (ID) | 807732500 | |
| 01 | 185529500 | US DEPARTMENT OF LABOR |
| 01 (WA) | 145403 | WA DEPARTMENT OF LABOR |
| 01 (ID) | 000010026334 | REGENCE BLUE SHIELD |
| 01 (ID) | 8J703 | BLUE CROSS OF IDAHO GROUP |
Part of a multi-provider practice. 31 other active providers share this practice address in NPPES.
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