NPI age
19 years
Enumerated 2006-07-25
Across 1165 active chiropractor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 | C5822 | BLUE CROSS |
| 01 (ID) | 000010157423 | BLUE SHIELD |
| 05 (ID) | 807598100 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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