NPI age
18 years
Enumerated 2007-06-04
Across 25 active thoracic surgery (cardiothoracic vascular surgery) providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (MA) | 0104574 |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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