NPI age
20 years
Enumerated 2005-07-13
Across 25 active thoracic surgery (cardiothoracic vascular surgery) providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | G8878163 | MEDICARE PTAN |
| 05 (WA) | 8357345 | |
| 01 (WA) | G8870910 | MEDICARE PTAN |
| 05 (ID) | 806593702 | |
| 01 (ID) | 11104691 | MEDICARE PTAN |
Part of a multi-provider practice. 239 other active providers share this practice address in NPPES.
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