NPI age
20 years
Enumerated 2005-09-13
Across 21 active orthopaedic surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 74823 | BCI |
| 05 (ID) | 805208800 | |
| 01 (ID) | 000010004322 | REGENCE |
| 05 (WA) | 8204851 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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