NPI age
19 years
Enumerated 2007-04-11
Across 305 active specialist providers in Idaho.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 7117922 | |
| 05 (ID) | 806652800 | |
| 05 (WA) | 8143836 | |
| 05 (ID) | 002587000 |
Multi-provider organization. 2 individual providers on file at this primary address.
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