NPI age
15 years
Enumerated 2011-02-23
Across 93 active clinic/center providers in Idaho.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | HW264 | BLUE CROSS |
| 01 (ID) | 000010018440 | BLUE SHIELD |
Multi-provider organization. 2 individual providers on file at this primary address.
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