NPI age
19 years
Enumerated 2006-08-09
Across 239 active orthopaedic surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 | 74880 | BX |
| 01 | 000010151179 | REG |
| 05 (ID) | 807210200 |
Part of a multi-provider practice. 26 other active providers share this practice address in NPPES.
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