NPI age
19 years
Enumerated 2006-11-22
Across 25 active orthopaedic surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 8464828 | |
| 01 (ID) | P00041410 | RAILROAD MEDICARE |
| 01 (ID) | 360191400 | US DEPT OF LABOR |
| 05 (MT) | 1164597431 | |
| 01 (ID) | 76559 | BLUE CROSS |
| 01 (ID) | 000010000103 | REGENCE BLUE SHIELD |
| 05 (ID) | 002777500 | |
| 01 (ID) | 1009215 | IDAHO STATE INSURANCE |
Solo or small practice. No other active providers share this practice address in NPPES.
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