NPI age
19 years
Enumerated 2007-05-02
Across 100 active internal medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (MI) | 0B50203 | BCBSM |
| 01 (MI) | 0B51442 | BCBS OF MI |
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
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