NPI age
19 years
Enumerated 2006-07-10
Across 504 active internal medicine providers in Idaho.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 8M857 | BLUE CROSS |
| 01 (ID) | 000010159968 | BLUE SHIELD |
| 05 (WA) | 7136468 |
Multi-provider organization. 20 individual providers on file at this primary address.
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