NPI age
19 years
Enumerated 2007-02-21
Across 97 active physician assistant providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 8076996 | |
| 01 | P00395077 | RAILROAD MEDICARE |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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