NPI age
20 years
Enumerated 2006-05-23
Across 1263 active physician assistant providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | PA132 | BLUE CROSS OF IDAHO |
| 05 (ID) | 1295780062 | |
| 01 (ID) | 100001052280 | REGENCE BLUESHIELD OF IDAHO |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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