NPI age
20 years
Enumerated 2006-05-17
Across 78 active urology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 76708 | BLUE CROSS MERIDIAN |
| 05 (ID) | 806353100 | |
| 01 (ID) | 000010152027 | BLUE SHIELD MERIDIAN |
| 01 (ID) | P00271187 | RAILROAD MEDICARE |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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