NPI age
19 years
Enumerated 2006-07-18
Across 2 active clinic/center providers in Idaho.
6 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002472500 | |
| 05 (ID) | 805022000 | |
| 05 (WA) | 7025661 | |
| 05 (ID) | 806173900 | |
| 01 (ID) | 1013936541 | TRICARE |
| 05 (WA) | 7901309 | |
| 01 (ID) | 600002216 | UNITED HEALTHCARE-RAILROAD MEDICARE |
Multi-provider organization. 6 individual providers on file at this primary address.
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