NPI age
19 years
Enumerated 2006-12-20
Across 1165 active chiropractor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807387600 | |
| 01 (ID) | C2532 | BLUE CROSS OF IDAHO |
| 01 (ID) | 000010156505 | REGENCE BLUE SHIELD |
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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