NPI age
20 years
Enumerated 2005-08-17
Across 1691 active family medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (TN) | 3804377 | |
| 05 (MS) | 05829798 | |
| 01 (TN) | 003038788 | BCBS OF TN |
| 05 (LA) | 2158082 |
Part of a multi-provider practice. 40 other active providers share this practice address in NPPES.
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