NPI age
20 years
Enumerated 2005-09-20
Across 12 active orthopaedic surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | DA673 | BLUE CROSS OF IDAHO |
| 01 (ID) | 00001000102 | REGENCE |
| 05 (WA) | 8177388 | |
| 05 (ID) | 003688100 |
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
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