NPI age
19 years
Enumerated 2006-08-29
Across 69 active neurological surgery providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 | 8944944 | CRIMES VICTIMS |
| 05 (ID) | 1861501637 | |
| 01 (ID) | 20140 | BLUE CROSS OF IDAHO |
| 01 | 006154 | OMAP |
| 01 (ID) | 0222532 | WA DEPT OF LABOR |
| 01 (ID) | 100001035500 | REGENCE BLUESHIELD OF IDAHO |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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