NPI age
19 years
Enumerated 2006-06-03
Across 18 active physical medicine & rehabilitation providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 308275 | ALTIUS |
| 01 (ID) | 000010161457 | BLUE SHIELD |
| 01 | 8N143 | BLUE CROSS |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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