NPI age
19 years
Enumerated 2006-10-13
Across 239 active orthopaedic surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (NC) | 1073603692 | |
| 05 (SC) | NC2396 | |
| 05 (ID) | 1073603692 |
Part of a multi-provider practice. 239 other active providers share this practice address in NPPES.
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