NPI age
20 years
Enumerated 2005-10-21
Across 1263 active physician assistant providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010148334 | BCBS |
| 01 (ID) | PANW3 | BCBS |
| 01 (ID) | P00160001 | RR MEDICARE |
| 01 (ID) | PANV5 | BCBS |
| 01 (ID) | 000010148335 | BCBS |
Part of a multi-provider practice. 47 other active providers share this practice address in NPPES.
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