NPI age
15 years
Enumerated 2011-02-24
Across 16 active clinic/center providers in Idaho.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | M8056472 |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 20 individual providers on file at this primary address.
Subpart of Kootenai Health, Inc..
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