NPI age
18 years
Enumerated 2007-07-18
Across 1165 active chiropractor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1378832 | MEDICARE GROUP |
| 01 (ID) | 1674929 | MEDICARE INDIVIDUAL |
Single-site organization. Only one practice location on file.
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