NPI age
20 years
Enumerated 2005-09-20
Across 111 active internal medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010004579 | BLUE SHIELD OF IDAHO |
| 01 (ID) | 100004184 | RAILROAD MEDICARE |
| 05 (ID) | 002713200 | |
| 01 (ID) | 10827 | BLUE CROSS OF IDAHO |
| 01 (ID) | 055397 | OREGON HEALTH AND WELFARE |
Part of a multi-provider practice. 28 other active providers share this practice address in NPPES.
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