NPI age
17 years
Enumerated 2009-03-26
Across 239 active orthopaedic surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 1265674071 | |
| 05 (ID) | 1265674071 |
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
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