NPI age
17 years
Enumerated 2008-05-31
Across 228 active obstetrics & gynecology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (AR) | 200335001 | |
| 01 (MO) | P01246708 | RR MCR |
| 01 (MO) | 431560263 | TRICARE |
| 05 (MO) | 1790943132 |
Part of a multi-provider practice. 33 other active providers share this practice address in NPPES.
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