NPI age
13 years
Enumerated 2013-03-26
Across 245 active psychiatry & neurology providers in Idaho.
11 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 20002419 | MEDICARE PTAN |
Multi-provider organization. 11 individual providers on file at this primary address.
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