NPI age
17 years
Enumerated 2008-07-16
Across 122 active ophthalmology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | P01110201 | RR MEDICARE |
| 01 (WA) | 0299990 | L&I |
| 05 (WA) | 1598929796 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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