NPI age
20 years
Enumerated 2006-02-08
Across 387 active physician assistant providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 | 000010154501 | BLUE SHIELD OF IDAHO |
| 05 (ID) | 807377800 | |
| 01 (ID) | PAC62 | BLUE CROSS OF IDAHO |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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