NPI age
19 years
Enumerated 2007-03-01
Across 32 active clinic/center providers in Idaho.
13 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | HW348 | BLUE CROSS OF IDAHO |
| 01 | 000010018824 | BLUESHIELD |
| 05 (ID) | 8073441 |
Multi-provider organization. 13 individual providers on file at this primary address.
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