NPI age
20 years
Enumerated 2005-08-16
Across 1691 active family medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 080195176 | RAIL ROAD MEDICARE |
| 01 (ID) | 50641 | BLUE CROSS OF IDAHO |
| 05 (ID) | 806042600 | |
| 01 (ID) | 000010032447 | REGENCE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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