NPI age
18 years
Enumerated 2007-07-10
Across 1691 active family medicine providers in Idaho.
4 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010138476 | REGENCE BLUE SHIELD OF ID |
| 01 (ID) | 8N464 | BLUE CROSS OF IDAHO |
| 01 (ID) | 080184962 | RAILROAD MEDICARE |
| 05 (ID) | 806385700 |
Multi-provider organization. 4 individual providers on file at this primary address.
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