NPI age
18 years
Enumerated 2007-05-29
Across 326 active clinic/center providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807120900 | |
| 05 (ID) | 807404500 | |
| 05 (ID) | 807197500 |
Single-site organization. Only one practice location on file.
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