NPI age
19 years
Enumerated 2007-02-13
Across 305 active specialist providers in Idaho.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 003621300 | |
| 05 (ID) | 002586000 | |
| 05 (ID) | 002585900 |
Multi-provider organization. 3 individual providers on file at this primary address.
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