NPI age
20 years
Enumerated 2005-10-21
Across 85 active psychiatry & neurology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 39594 | BLUE CROSS |
| 05 (ID) | 002363800 | |
| 01 (ID) | 000010034804 | BLUE SHIELD |
| 01 (ID) | 000010001980 | BLUE SHIELD |
| 01 (ID) | 130007001 | RAILROAD MEDICARE |
| 01 (ID) | 57562 | BLUE CROSS |
| 01 (ID) | 45153 | BLUE CROSS |
Part of a multi-provider practice. 47 other active providers share this practice address in NPPES.
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