NPI age
19 years
Enumerated 2006-12-14
Across 8 active colon & rectal surgery providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1821150285 | NPI |
Part of a multi-provider practice. 35 other active providers share this practice address in NPPES.
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