NPI age
20 years
Enumerated 2006-03-17
Across 1691 active family medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | 1114996428 | PREMERA BLUE CROSS |
| 05 (CO) | 40984524 | |
| 05 (ID) | 808521300 | |
| 01 (ID) | 78176 | BLUE CROSS OF IDAHO |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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