NPI age
19 years
Enumerated 2006-07-05
Across 1165 active chiropractor providers in Idaho.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1675083 | MEDICARE |
| 05 (ID) | 806406800 | |
| 01 (ID) | 1619966140 | INDIVIDUAL NPI |
Multi-provider organization. 1 individual provider on file at this primary address.
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