NPI age
19 years
Enumerated 2006-07-24
Across 69 active neurological surgery providers in Idaho.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 100000759058 | REGENCE BLUESHIELD OF IDAHO |
| 01 | 202654900 | US OWPC |
| 01 (OR) | 227537 | OMAP |
| 05 (ID) | 1154343309 | |
| 01 (ID) | B5707 | BLUE CROSS OF IDAHO |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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