NPI age
19 years
Enumerated 2007-03-05
Across 69 active neurological surgery providers in Idaho.
13 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 185584800 | ASC |
| 01 (ID) | 57489 | BLUE CROSS |
| 05 (ID) | 000060000 | |
| 01 (ID) | 000010002012 | BLUE SHIELD |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 13 individual providers on file at this primary address.
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