NPI age
15 years
Enumerated 2010-08-25
Across 1165 active chiropractor providers in Idaho.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 101390014 | |
| 01 (ID) | C4702 | BLUE CROSS |
Multi-provider organization. 2 individual providers on file at this primary address.
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