NPI age
20 years
Enumerated 2006-04-14
Across 100 active internal medicine providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (MO) | 060060916 | RAILROAD MEDICARE |
| 01 | 20007804 | MEDICARE |
| 01 (MO) | 27025013 | BCBS-KC |
| 05 (ID) | 1053375105 |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →