NPI age
20 years
Enumerated 2006-01-31
Across 38 active internal medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (MD) | 105845 | KAISER PROVIDER # |
| 01 (MD) | 62009401 | BCBS MD PROV # |
| 01 (MD) | T6320004 | BCBS FEDERAL PROV # |
| 01 (MD) | P00063033 | TRAVELERS RR MEDICARE |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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