NPI age
18 years
Enumerated 2007-10-31
Across 336 active emergency medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010145844 | BLUE SHIELD |
| 01 (ID) | 8I219 | BLUE CROSS |
Single-site organization. Only one practice location on file.
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