NPI age
19 years
Enumerated 2007-05-08
Across 29 active anesthesiology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | HB403 | BLUE CROSS |
| 01 (ID) | 000010160248 | REGENCE BLUE SHIELD |
Part of a multi-provider practice. 107 other active providers share this practice address in NPPES.
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