NPI age
21 years
Enumerated 2005-05-24
Across 239 active orthopaedic surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | P00899553 | MCRR |
| 05 (ID) | 003746300 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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