NPI age
20 years
Enumerated 2005-08-19
Across 239 active orthopaedic surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 806411300 | |
| 01 (ID) | 50476 | BLUE CROSS OF IDAHO |
| 01 (ID) | 00001013974 | REGENCE BLUE SHIELD |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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