NPI age
18 years
Enumerated 2008-01-29
Across 1165 active chiropractor providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | C9917 | BLUE CROSS OF IDAHO |
| 01 (ID) | 000010027755 | REGENCE BLUE SHIELD |
| 05 (ID) | 805752600 |
Multi-site organization. 1 additional practice location on file.
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