NPI age
10 years
Enumerated 2016-04-08
Across 104 active clinic/center providers in Idaho.
1 secondary location on file with NPPES.
10 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1467816199 |
Multi-provider organization. 10 individual providers on file at this primary address. Plus 1 secondary practice location.
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