NPI age
18 years
Enumerated 2007-06-27
Across 120 active clinic/center providers in Idaho.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1033262183 | INDIVIDUAL NPI |
| 01 (ID) | 000010023964 | REGENCE BLUE SHIELD PIN |
| 01 (ID) | 1002857 | STATE INSURANCE ID |
| 01 (ID) | 125 | STATE ID LICENSE |
| 05 (ID) | 0044033 | |
| 01 (ID) | 390146 | REGENCE BLUE SHIELD ID |
| 01 (ID) | T2797 | BLUE CROSS ID |
Multi-provider organization. 1 individual provider on file at this primary address.
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