NPI age
19 years
Enumerated 2007-03-15
Across 504 active internal medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002648500 | |
| 01 (ID) | C36950 | UPIN |
| 01 (ID) | 000010005201 | BLUE SHIELD OF IDAHO |
| 01 (ID) | 820428306 | CIGNA BEHAVIORAL HEALTH |
| 01 (ID) | 1370128 | MEDICARE GROUP |
| 01 (ID) | 49155 | BLUE CROSS OF IDAHO |
| 01 (ID) | G526301 | TRICARE |
Part of a multi-provider practice. 116 other active providers share this practice address in NPPES.
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