NPI age
19 years
Enumerated 2006-08-15
Across 305 active specialist providers in Idaho.
5 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | P00331085 | RAILROAD MEDICARE |
| 05 (ID) | 807235300 |
Multi-provider organization. 5 individual providers on file at this primary address.
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