NPI age
20 years
Enumerated 2006-01-20
Across 61 active clinic/center providers in Idaho.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 8F496 | BLUE CROSS PROVIDER # |
| 01 (ID) | 000010137702 | BLUE SHIELD PROVIDER # |
Multi-provider organization. 20 individual providers on file at this primary address.
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