NPI age
20 years
Enumerated 2006-05-03
Across 1691 active family medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010149456 | REGENCE BLUE SHIELD |
| 01 (ID) | 73924 | BLUE CROSS OLD |
| 01 (ID) | 268231 | ALTIUS OLD |
| 01 (ID) | 313068 | ALTIUS |
| 01 (ID) | 76962 | BLUE CROSS |
| 05 (ID) | 806699000 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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