NPI age
19 years
Enumerated 2007-05-21
Across 11 active podiatrist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010015646 | REGENCE BLUE SHIELD OF ID |
| 05 (ID) | 002143900 | |
| 01 (ID) | 480031477 | RAILROAD MEDICARE |
| 01 (ID) | P2397 | BLUE CROSS OF IDAHO |
| 05 (ID) | 1093924813 | |
| 01 (ID) | 4134570001 | DMERC |
| 01 (ID) | 820491190 | PRIVATE INSURANCES |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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