NPI age
19 years
Enumerated 2006-09-16
Across 3 active anesthesiology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (NH) | 30209821 | |
| 05 (VT) | 1018017 |
Part of a multi-provider practice. 31 other active providers share this practice address in NPPES.
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