NPI age
19 years
Enumerated 2006-08-19
Across 252 active pediatrics providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (WY) | 1285786046 | |
| 01 (ID) | 000010143893 | BLUE SHIELD |
| 05 (ID) | 806644500 | |
| 05 (WY) | 123957100 | |
| 05 (MT) | 0117436 | |
| 01 (ID) | 54380 | BLUE CROSS |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →