NPI age
19 years
Enumerated 2007-03-01
Across 305 active specialist providers in Idaho.
15 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | CG1936 | RAILROAD MEDICARE |
| 01 | 185512700 | US DEPT OF LABOR |
| 01 | 000010000719 | BLUE SHIELD OF ID |
Multi-provider organization. 15 individual providers on file at this primary address.
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