NPI age
4 years
Enumerated 2021-10-20
Across 516 active student in an organized health care education/training program providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 87-3194123 | 87-3194123 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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