NPI age
19 years
Enumerated 2007-03-15
Across 504 active internal medicine providers in Idaho.
4 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 8H732 | BLUE CROSS GROUP |
| 05 (ID) | 805234300 |
Multi-provider organization. 4 individual providers on file at this primary address.
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