NPI age
19 years
Enumerated 2006-06-17
Across 239 active orthopaedic surgery providers in Idaho.
7 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010154957 | BLUE SHIELD |
| 05 (WY) | 1902841893 | |
| 05 (MT) | 1902841893 | |
| 05 (ID) | 807418100 | |
| 01 (ID) | 8M826 | BLUECROSS OF ID |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 7 individual providers on file at this primary address.
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