NPI age
19 years
Enumerated 2006-06-06
Across 504 active internal medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | P00029389 | RR MEDICARE |
| 05 (ID) | 806143900 |
Part of a multi-provider practice. 28 other active providers share this practice address in NPPES.
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