NPI age
19 years
Enumerated 2006-06-30
Across 67 active internal medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1138439 | CIGNA MEDICARE |
| 01 (ID) | 290010172 | RR MEDICARE |
| 01 (ID) | 45872 | BLUE CROSS |
| 05 (ID) | 805025300 | |
| 01 (ID) | 000010004463 | BLUE SHIELD |
Part of a multi-provider practice. 29 other active providers share this practice address in NPPES.
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