NPI age
19 years
Enumerated 2006-08-20
Across 228 active obstetrics & gynecology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (WI) | 32215700 | |
| 05 (ID) | 808355800 |
Part of a multi-provider practice. 31 other active providers share this practice address in NPPES.
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