NPI age
20 years
Enumerated 2005-10-31
Across 504 active internal medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010142695 | REGENCE OF IDAHO GROUP |
| 05 (ID) | 806041700 | |
| 01 (ID) | 8H104 | BLUE CROSS OF IDAHO GROUP |
| 01 (ID) | 043634356 | BRCHC TAX ID |
| 05 (ID) | 806590100 | |
| 01 (ID) | 000010148248 | REGENCE OF IDAHO |
| 01 (ID) | 71688 | BLUE CROSS OF IDAHO |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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