NPI age
19 years
Enumerated 2006-08-15
Across 239 active orthopaedic surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (CO) | SA665374 | CO BCBS |
| 05 (CO) | 07789777 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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