NPI age
19 years
Enumerated 2007-04-11
Across 239 active orthopaedic surgery providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | HQ038Y | MEDICARE |
| 05 (FL) | 010324800 | |
| 01 (FL) | HQ038X | MEDICARE |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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