NPI age
18 years
Enumerated 2007-06-06
Across 38 active surgery providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (NH) | 3075555 | |
| 01 (NH) | P01116488 | RAILROAD MEDICARE |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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