NPI age
17 years
Enumerated 2008-05-30
Across 239 active orthopaedic surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (MT) | 1497913008 | |
| 05 (ID) | 808443100 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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