NPI age
20 years
Enumerated 2006-05-24
Across 239 active orthopaedic surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1225613375 | |
| 05 (NY) | 02773182 | |
| 01 (NM) | 236620 | LICENSE |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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