NPI age
18 years
Enumerated 2007-07-23
Across 228 active obstetrics & gynecology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (MO) | 1487854055 | |
| 01 (MO) | 431560263 | TRICARE |
| 05 (AR) | 194646001 | |
| 01 (MO) | P01128235 | RR MCR |
Part of a multi-provider practice. 33 other active providers share this practice address in NPPES.
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