NPI age
18 years
Enumerated 2007-07-11
Across 16 active obstetrics & gynecology providers in Idaho.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 2010237 |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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