NPI age
19 years
Enumerated 2006-11-02
Across 48 active internal medicine providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 10155152 | BLUE SHIELD OF IDAHO |
| 05 (ID) | 805306201 | |
| 01 (ID) | 54494 | BLUE CROSS OF IDAHO |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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