NPI age
15 years
Enumerated 2010-11-10
Across 146 active audiologist providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | 7149398 | WA MEDICAID |
| 01 (ID) | 1831490507 | IDAHO MEDICAID |
| 01 (ID) | 15814444 | MEDICARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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