NPI age
20 years
Enumerated 2005-08-11
Across 67 active podiatrist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 0027887 | |
| 01 (ID) | 000010015686 | REGENCE BLUESHIELD OF ID |
| 01 (ID) | P9186 | BLUE CROSS OF IDAHO |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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