NPI age
20 years
Enumerated 2005-10-21
Across 260 active surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | J66180 | BLUE CROSS |
| 01 (ID) | 14720 | BLUE CROSS |
| 01 (ID) | 000010003578 | BLUE SHIELD |
| 01 | 020023224 | RAILROAD MEDICARE |
| 01 | 000010027644 | BLUE SHIELD |
| 01 | 000010138645 | BLUE SHIELD |
| 05 (ID) | 002366500 | |
| 01 (ID) | S5119 | BLUE CROSS |
Part of a multi-provider practice. 47 other active providers share this practice address in NPPES.
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