NPI age
20 years
Enumerated 2006-02-10
Across 1 active dermatology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (CO) | 48703737 | |
| 05 (MN) | 305413000 | |
| 01 (MN) | P00405227 | MEDICARE RAILROAD |
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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