NPI age
20 years
Enumerated 2006-01-25
Across 68 active podiatrist providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000855434A | |
| 05 (ID) | 00855434B | |
| 05 (GA) | 00855434C | |
| 01 (GA) | 2701696 | EVERCARE |
| 05 (GA) | 332893 | |
| 05 (GA) | 10051376 | |
| 01 (GA) | 2308614 | AETNA |
| 01 (GA) | 2600040 | UNITED HEALTHCARE |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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