NPI age
20 years
Enumerated 2005-07-05
Across 38 active internal medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (CA) | 00G741200 | BLUE SHIELD OF CALIFORNIA |
| 01 (CA) | 060017509 | RAILROAD MEDICARE |
| 05 (CA) | 00G741200 |
Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.
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