NPI age
19 years
Enumerated 2007-03-26
Across 75 active general practice providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010005790 | REGENCE BLUE SHIELD IDAHO |
| 01 (ID) | 38067 | BLUE CROSS OF IDAHO |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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