NPI age
20 years
Enumerated 2006-04-20
Across 1165 active chiropractor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010022893 | REGENCE |
| 05 (ID) | 002738600 | |
| 01 (ID) | C-730-9 | BLUE CROSS |
Solo or small practice. No other active providers share this practice address in NPPES.
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