NPI age
19 years
Enumerated 2006-08-10
Across 252 active pediatrics providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 74260 | BLUE CROSS OF IDAHO |
| 05 (MT) | 1376554188 | |
| 05 (WA) | 8433591 | |
| 01 (ID) | 000010150566 | REGENCE BLUE SHIELD |
| 05 (ID) | 807146700 | |
| 01 (ID) | B4281 | BLUE CROSS OF IDAHO |
| 01 (ID) | 000010150565 | REGENCE BLUE SHIELD |
Part of a multi-provider practice. 65 other active providers share this practice address in NPPES.
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