NPI age
19 years
Enumerated 2007-05-18
Across 239 active orthopaedic surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (CO) | P00803999 | RR MEDICARE |
| 05 (CO) | 67920276 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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