NPI age
19 years
Enumerated 2006-10-06
Across 25 active orthopaedic surgery providers in Idaho.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 360191400 | US DEPT OF LABOR |
| 05 (WA) | 7134737 | |
| 01 (ID) | 8M799 | BLUE CROSS |
| 05 (ID) | 808300500 | |
| 05 (MT) | 1861589236 | |
| 01 (ID) | 1009215 | IDAHO STATE INSURANCE |
| 01 (ID) | 000010149140 | REGENCE BLUE SHIELD |
| 01 (ID) | DE2554 | RAILROAD MEDICARE |
Multi-provider organization. 1 individual provider on file at this primary address.
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