NPI age
11 years
Enumerated 2014-05-28
Across 239 active orthopaedic surgery providers in Idaho.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 1194137968 |
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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