NPI age
19 years
Enumerated 2006-05-26
Across 85 active psychiatry & neurology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010000939 | REGENCE BLUE SHIELD ID |
| 01 (ID) | S2426 | BLUE CROSS ID |
| 05 (ID) | 002457400 | |
| 01 (ID) | 353306900 | OWCP ID |
| 01 (ID) | 130025239 | RAILROAD MEDICARE ID |
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
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