NPI age
19 years
Enumerated 2007-01-18
Across 34 active pediatrics providers in Idaho.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807644200 | |
| 05 (MT) | 1285786046 | |
| 05 (WY) | 1285786046 |
Multi-provider organization. 20 individual providers on file at this primary address.
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