NPI age
19 years
Enumerated 2006-07-10
Across 10 active allergy & immunology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | M7334 | STATE LICENSE |
| 05 (ID) | 804258400 | |
| 01 (ID) | 040011016 | RR MEDICARE |
| 01 (ID) | DI361 | BLUE CROSS OF ID |
| 01 (ID) | 000010003882 | BLUE SHIELD OF ID |
Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →