NPI age
16 years
Enumerated 2009-10-15
Across 122 active ophthalmology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1861727323 | |
| 01 (ID) | P01213576 | RAILROAD MEDICARE |
Solo or small practice. No other active providers share this practice address in NPPES.
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