NPI age
19 years
Enumerated 2007-01-08
Across 1691 active family medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 | P00382975 | RAILROAD MEDICARE |
| 05 (MI) | 104954493 | |
| 01 (MI) | 200000007190 | PHPMM |
| 01 (MI) | 0802310322 | BCBS |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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