NPI age
20 years
Enumerated 2006-01-03
Across 239 active orthopaedic surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (WY) | 1902841893 | |
| 05 (ID) | 808106500 | |
| 05 (MT) | 1144208059 |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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