NPI age
20 years
Enumerated 2006-02-22
Across 69 active neurological surgery providers in Idaho.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | 0244859 | LABOR & INDUSTRIES |
| 05 (TX) | 1275570-04 | |
| 05 (WA) | 8533796 |
Solo or small practice. No other active providers share this practice address in NPPES.
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