NPI age
20 years
Enumerated 2006-05-04
Across 228 active obstetrics & gynecology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 808292100 | |
| 01 (ID) | 00001017396 | BLUE SHIELD |
| 01 (ID) | 77955 | BLUE CROSS |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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