NPI age
19 years
Enumerated 2006-09-30
Across 1165 active chiropractor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010023767 | BLUE SHIELD |
| 01 (ID) | C8612 | BLUE CROSS |
Single-site organization. Only one practice location on file.
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