NPI age
19 years
Enumerated 2006-10-23
Across 115 active hospitalist providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | 0170479 | WA LABOR & INDUSTRIES |
| 01 (ID) | 53744 | BLUE CROSS |
| 01 (ID) | 1013090836 | REGENCE BLUESHIELD |
| 05 (WA) | 1000326 | |
| 05 (ID) | 1013090836 |
Part of a multi-provider practice. 56 other active providers share this practice address in NPPES.
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