NPI age
12 years
Enumerated 2014-02-05
Across 85 active psychiatry & neurology providers in Idaho.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1063585305 | NPI |
| 05 (ID) | 807637500 |
Multi-provider organization. 2 individual providers on file at this primary address.
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