NPI age
19 years
Enumerated 2006-12-26
Across 1165 active chiropractor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | C5030 | BLUESCROSS |
| 01 (ID) | 000010018610 | REGENCE |
| 01 | 38266 | DEPT OF LABOR AND INDUSTR |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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