NPI age
18 years
Enumerated 2007-05-31
Across 1165 active chiropractor providers in Idaho.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | C5638 | BLUE CROSS |
| 01 | 000010157423 | BLUE SHIELD |
| 05 (ID) | 807598100 |
Multi-provider organization. 1 individual provider on file at this primary address.
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