NPI age
20 years
Enumerated 2006-03-29
Across 1691 active family medicine providers in Idaho.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010135253 | BLUE SHIELD |
| 01 (ID) | 8G171 | BLUE CROSS |
Multi-provider organization. 3 individual providers on file at this primary address.
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