NPI age
20 years
Enumerated 2006-01-25
Across 1263 active physician assistant providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010149864 | REGENCE BLUE SHIELD |
| 01 (ID) | PAVE5 | TRUE BLUE |
| 05 (ID) | 806367900 | |
| 01 (ID) | 40659 | BLUE CROSS |
Part of a multi-provider practice. 31 other active providers share this practice address in NPPES.
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