NPI age
19 years
Enumerated 2007-04-17
Across 1263 active physician assistant providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | PAYL7 | BLUE CROSS |
| 05 (ID) | 805130800 | |
| 01 (ID) | 000010006458 | BLUE SHIELD |
Single-site organization. Only one practice location on file.
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