NPI age
20 years
Enumerated 2006-05-04
Across 152 active anesthesiology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 20002355 | MEDICARE ID |
| 05 (ID) | 1851349914 |
Solo or small practice. No other active providers share this practice address in NPPES.
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