NPI age
20 years
Enumerated 2006-05-05
Across 25 active orthopaedic surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | 238312 | WA DEPT OF LABOR & INDUSTRIES |
| 01 (ID) | 77378 | BLUE CROSS OF ID |
| 05 (ID) | 808097200 | |
| 05 (WA) | 8517518 |
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
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