NPI age
19 years
Enumerated 2006-10-23
Across 75 active general practice providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | 69378 | WA LABOR & INDUSTRIES |
| 05 (WA) | 8118655 |
Part of a multi-provider practice. 56 other active providers share this practice address in NPPES.
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