NPI age
18 years
Enumerated 2007-06-26
Across 145 active clinic/center providers in Idaho.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807716900 |
Multi-provider organization. 2 individual providers on file at this primary address.
Subpart of City Of Nampa.
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