NPI age
10 years
Enumerated 2015-07-06
Across 25 active orthopaedic surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (MO) | 2015021994 | MISSOURI DIVISION OF PROFESSIONAL REGISTRATION |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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