NPI age
19 years
Enumerated 2006-10-23
Across 69 active neurological surgery providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 0172112 | WASHINGTON L & I |
| 01 | 205112900 | OWCP |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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