NPI age
18 years
Enumerated 2007-11-28
Across 260 active surgery providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | 0251161 | WA L&I |
| 01 (ID) | 77947 | BLUE CROSS |
| 01 (ID) | P00766399 | RAILROAD MEDICARE |
| 01 (ID) | 000010173473 | REGENCE BLUE SHIELD |
| 01 (ID) | 1196087 | CIGNA MEDICARE |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →