NPI age
14 years
Enumerated 2012-04-17
Across 21 active orthopaedic surgery providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1871850727 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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