NPI age
20 years
Enumerated 2005-11-21
Across 228 active obstetrics & gynecology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 | 000010139256 | BS |
| 01 | 50427 | BC |
Part of a multi-provider practice. 223 other active providers share this practice address in NPPES.
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