NPI age
4 years
Enumerated 2021-12-17
Across 5 active technician providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | EEI232029 | BUREAU OF OCCUPATIONAL LISCENSE |
| 01 (ID) | EEI232029 | BUREAU OF OCCUPATIONAL LICENSES |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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