NPI age
14 years
Enumerated 2012-01-03
Across 1165 active chiropractor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 | 350005191 | MEDICARE |
| 05 (MN) | 1063782456 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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