NPI age
20 years
Enumerated 2005-11-14
Across 260 active surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 77068 | BC ID |
| 01 (ID) | P00448097 | RR MEDICARE |
| 05 (ID) | 807836200 | |
| 05 (WA) | 1124619 |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →