NPI age
20 years
Enumerated 2005-10-21
Across 1263 active physician assistant providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010147742 | BLUE SHIELD |
| 01 (ID) | PACC2 | BLUE CROSS |
| 05 (ID) | 806348800 | |
| 01 (ID) | 000010139188 | BLUE SHIELD |
| 01 (ID) | PACB4 | BLUE CROSS |
| 01 (ID) | PANX1 | BLUE CROSS |
| 01 (ID) | 000010138646 | BLUE SHIELD |
| 01 (ID) | 970026445 | RAILROAD MEDICARE |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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