NPI age
19 years
Enumerated 2006-11-01
Across 21 active orthopaedic surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 72405 | BLUE CROSS OF ID |
| 01 (ID) | 185513400 | US DEPT OF LABOR |
| 01 (ID) | 200034945 | RAILROAD MEDICARE |
| 05 (ID) | 1497883300 |
Part of a multi-provider practice. 25 other active providers share this practice address in NPPES.
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