NPI age
19 years
Enumerated 2006-06-17
Across 21 active orthopaedic surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 2754500 | |
| 05 (ID) | 002754500 |
Solo or small practice. No other active providers share this practice address in NPPES.
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