NPI age
20 years
Enumerated 2005-09-22
Across 85 active psychiatry & neurology providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 805433500 | |
| 01 (WA) | 128039 | L & I WA |
| 05 (WA) | 7088867 | |
| 05 (WA) | 8239543 |
Part of a multi-provider practice. 119 other active providers share this practice address in NPPES.
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