NPI age
19 years
Enumerated 2006-08-20
Across 305 active specialist providers in Idaho.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | CT0334 | RAILROAD MEDICARE GROUP # |
| 05 (ID) | 002574900 | |
| 01 (ID) | 89292 | BC GROUP # |
| 05 (ID) | 002575200 | |
| 01 (ID) | 000010006553 | BS GROUP # |
Multi-provider organization. 2 individual providers on file at this primary address.
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