NPI age
19 years
Enumerated 2006-07-05
Across 29 active radiology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 805081800 | |
| 01 (ID) | J4779 | BLUE CROSS OF IDAHO |
Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.
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