NPI age
19 years
Enumerated 2006-10-11
Across 1165 active chiropractor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (IN) | 200324320(A) | |
| 01 (IN) | 192345 | BC/BS PROVIDER # |
Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.
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