NPI age
20 years
Enumerated 2005-10-21
Across 1691 active family medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010001385 | BLUE SHIELD |
| 01 (ID) | 000010001387 | BLUE SHIELD |
| 01 (ID) | 38752 | BLUE CROSS |
| 01 (ID) | 43067 | BLUE CROSS |
| 01 (ID) | 57380 | BLUE CROSS |
| 01 (ID) | 000010001386 | BLUE SHIELD |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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