NPI age
17 years
Enumerated 2008-07-10
Across 228 active obstetrics & gynecology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1174787097 | |
| 05 (CO) | 19627874 |
Part of a multi-provider practice. 186 other active providers share this practice address in NPPES.
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