NPI age
19 years
Enumerated 2006-10-23
Across 252 active pediatrics providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1013090828 | REGENCE BLUE CROSS |
| 01 (ID) | 1127194 | DMERC |
| 05 (WA) | 1000325 | |
| 01 (ID) | 841377860 | MISCELLANEOUS INSURANCE |
| 01 (WA) | 0210278 | LABOR & INDUSTRIES |
| 05 (ID) | 1013090828 | |
| 01 (ID) | DF391 | BLUE CROSS |
Part of a multi-provider practice. 56 other active providers share this practice address in NPPES.
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