NPI age
20 years
Enumerated 2005-10-14
Across 248 active radiology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (KY) | 50017533 | PASSPORT-KCR |
| 05 (KY) | 711128690 | |
| 05 (FL) | 05646300001 | |
| 01 (KY) | 3425385000 | PASSPORT ADVANTAGE |
| 01 (FL) | 14284 | BCBS |
| 05 (TX) | 196770501 | |
| 01 (KY) | 7100028690 | KY MEDICAID HEALTH CHOICES |
| 01 (KY) | 91741 | SIHO-KCR |
| 01 (KY) | 000000548200 | ANTHEM-KCR |
| 05 (OH) | 2810855 | |
| 05 (PA) | 102104820 | |
| 05 (VA) | 1043209893 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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