NPI age
19 years
Enumerated 2006-06-28
Across 9 active orthopaedic surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010000552 | BS |
| 05 (OR) | 286007 | |
| 05 (WY) | 113909600 | |
| 01 (ID) | 00001000552 | MEDIVANTAGE BS |
| 01 (TN) | 20036025 | RAILROAD MEDICARE |
| 01 (VA) | 613028 | BX BS VA |
| 05 (NC) | 7608951 | |
| 05 (ID) | 0027971 | |
| 01 (KY) | 185543500 | US DEPARTMENT OF LABOR |
| 01 (ID) | 29868 | BXI |
| 01 (CA) | 8157532 | OUT OF STATE MEDICAL |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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