NPI age
20 years
Enumerated 2005-06-20
Across 1165 active chiropractor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010022440 | BLUE SHIELD |
| 05 (ID) | 1673575 | |
| 01 (ID) | C-8190 | BLUE CROSS |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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