NPI age
19 years
Enumerated 2006-06-08
Across 504 active internal medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 7081557 | |
| 01 (ID) | 000010006479 | BS GROUP NUMBER |
| 05 (MT) | 0351312 | |
| 05 (ID) | 805074900 | |
| 01 (ID) | 87841 | BC GROUP NUMBER |
Single-site organization. Only one practice location on file.
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