NPI age
19 years
Enumerated 2006-09-22
Across 98 active physical medicine & rehabilitation providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 | 8948153 | CRIME VICTIMS COMP FUND |
| 01 | P00242347 | RR MEDICARE |
| 01 (WA) | 0216896 | WASHINGTON L & I |
| 01 (ID) | 75366 | BLUE CROSS |
| 01 | 000010151353 | REGENCE BLUESHIELD |
| 05 (ID) | 806887300 |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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