NPI age
19 years
Enumerated 2006-06-12
Across 504 active internal medicine providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | G8882029 | MEDICARE CORPORATION ID |
| 01 (WA) | P00734032 | RAILROAD MEDICARE |
| 05 (WA) | 7147259 | |
| 01 (WA) | G8882028 | MEDICARE INDIVIDUAL ID |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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