NPI age
19 years
Enumerated 2006-07-01
Across 25 active orthopaedic surgery providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TN) | 4129574 | BCBS |
| 01 (TN) | 4351528 | BCBS TN |
| 05 (KY) | 7100190980 | |
| 05 (TN) | 1511195 | |
| 01 (TN) | 4207969 | BCBS |
| 05 (TN) | 3816037 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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