NPI age
13 years
Enumerated 2013-03-27
Across 504 active internal medicine providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8FX748 | BCBS |
| 01 (TX) | P01802221 | RAILROAD MEDICARE |
| 05 (TX) | 362073401 |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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