NPI age
19 years
Enumerated 2006-10-16
Across 5 active neuromusculoskeletal medicine & omm providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 806107400 | |
| 05 (ID) | 805400800 |
Single-site organization. Only one practice location on file.
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