NPI age
20 years
Enumerated 2005-11-02
Across 239 active orthopaedic surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 33548 | BLUE CROSS |
| 01 (ID) | 000010006018 | BLUE SHIELD |
| 05 (ID) | 002364900 | |
| 01 (ID) | 000010006017 | BLUE SHIELD |
| 01 (ID) | 57505 | BLUE CROSS |
| 01 (ID) | 200012693 | RAILROAD MEDICARE |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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