NPI age
19 years
Enumerated 2007-01-22
Across 115 active hospitalist providers in Idaho.
5 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 579975643A | |
| 05 (FL) | 0026292-00 | |
| 01 (FL) | P00855547 | RR MEDICARE |
Part of a multi-provider practice. 378 other active providers share this practice address in NPPES.
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