NPI age
19 years
Enumerated 2006-08-24
Across 67 active internal medicine providers in Idaho.
5 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010158930 | REGENCE BLUESHIELD |
| 01 (WA) | 0215165 | LABOR & INDUSTRIES |
| 05 (WA) | 1123389 | |
| 01 | DF4584 | RAILROAD MEDICARE |
| 05 (ID) | 804124700 | |
| 01 (ID) | B5650 | BLUE CROSS OF IDAHO |
Multi-provider organization. 5 individual providers on file at this primary address.
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