NPI age
20 years
Enumerated 2006-01-21
Across 239 active orthopaedic surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (CA) | 00A789820 | MEDICAL |
| 05 (CA) | 136043001 |
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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