NPI age
19 years
Enumerated 2006-07-12
Across 1165 active chiropractor providers in Idaho.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 312142 | BLUE SHIELD |
| 05 (ID) | M8082987 | |
| 01 (ID) | C9974 | BLUE CROSS |
Multi-provider organization. 1 individual provider on file at this primary address.
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