NPI age
19 years
Enumerated 2007-01-03
Across 1165 active chiropractor providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 | 38353 | OLD BLUE SHIELD |
| 01 | 000010009125 | BLUE SHIELD |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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