NPI age
20 years
Enumerated 2005-06-13
Across 305 active specialist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1710981162 | INDIVIDUAL NPI |
| 01 (ID) | 1370335 | MEDICARE CLINIC NUMBER |
| 01 (ID) | 1598811945 | NPI CORPORATION NUMBER |
| 05 (ID) | 002409100 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →