NPI age
20 years
Enumerated 2005-10-21
Across 25 active thoracic surgery (cardiothoracic vascular surgery) providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010149338 | BLUE SHIELD |
| 01 (ID) | S5486 | BLUE CROSS |
| 05 (ID) | 806467500 |
Solo or small practice. No other active providers share this practice address in NPPES.
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