NPI age
19 years
Enumerated 2006-12-01
Across 1165 active chiropractor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 334226 | BLUE SHIELD # |
| 01 (ID) | C2631 | BLUE CROSS # |
| 05 (ID) | 8067623 |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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