NPI age
19 years
Enumerated 2006-10-20
Across 260 active surgery providers in Idaho.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | DA7761 | RAILROAD MEDICARE |
| 05 (WA) | 7117229 | |
| 01 (ID) | 86207 | BLUE CROSS OF IDAHO |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 1 individual provider on file at this primary address.
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