NPI age
20 years
Enumerated 2006-03-16
Across 260 active surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (TN) | 3326667 | |
| 05 (MN) | 013408000 |
Part of a multi-provider practice. 186 other active providers share this practice address in NPPES.
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