NPI age
20 years
Enumerated 2006-01-18
Across 6 active specialist/technologist cardiovascular providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 8D780 | BLUE CROSS |
| 01 (ID) | 000010029412 | BLUE SHIELD |
Single-site organization. Only one practice location on file.
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