NPI age
15 years
Enumerated 2010-07-26
Across 68 active podiatrist providers in Idaho.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 480034721 | MEDICARE RAILROAD |
| 05 (ID) | 804309300 | |
| 01 (ID) | P1571 | BLUE CROSS |
| 01 (ID) | 000010015672 | BLUE SHIELD |
| 01 (ID) | 341488 | DMBA |
| 01 (ID) | 461973001 | DMERC |
Multi-provider organization. 3 individual providers on file at this primary address.
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