NPI age
19 years
Enumerated 2006-06-25
Across 69 active neurological surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010001551 | BLUE SHIELD |
| 05 (ID) | 002786100 | |
| 01 (ID) | 82-0529781 | TAX ID NO |
| 01 (ID) | 76836 | BLUE CROSS |
| 01 (ID) | 8M987 | BLUE CROSS PRACTICE |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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