NPI age
20 years
Enumerated 2006-05-20
Across 1263 active physician assistant providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 043634356 | BRCHC TAX ID |
| 01 (ID) | PAF22 | BLUE CROSS OF IDAHO |
| 01 (ID) | 000010161379 | REGENCE OF ID |
| 01 (ID) | 000010142695 | REGENCE OF ID GROUP |
| 01 (ID) | 8H104 | BLUE CROSS OF ID GROUP |
| 05 (ID) | 8065901 |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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