NPI age
17 years
Enumerated 2009-02-19
Across 1691 active family medicine providers in Idaho.
9 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010005517 | REGENCE BLUE SHIELD |
| 05 (ID) | 001102300 | |
| 01 (ID) | 2465-3 | BLE CROSS OF IDAHO |
Multi-provider organization. 9 individual providers on file at this primary address.
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