NPI age
20 years
Enumerated 2005-06-16
Across 305 active specialist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 806360400 | |
| 01 (ID) | B5599 | BLUE CROSS MERIDIAN |
| 01 (ID) | P00250188 | RAILROAD MEDICARE |
| 01 (ID) | 76535 | BLUE CROSS NAMPA |
| 01 (ID) | 000010152028 | BLUE SHIELD NAMPA |
| 01 (ID) | 000010157178 | BLUE SHIELD MERIDIAN |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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