NPI age
18 years
Enumerated 2007-08-05
Across 245 active psychiatry & neurology providers in Idaho.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 4666397245 | MYUTMB 4666397245 |
Part of a multi-provider practice. 239 other active providers share this practice address in NPPES.
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