NPI age
19 years
Enumerated 2007-01-22
Across 48 active internal medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | P000048425 P00241090 | RR MEDICARE |
| 01 (ID) | 000010148914 | BLUE SHIELD OF IDAHO |
| 01 (ID) | 72496 | BLUE CROSS OF IDAHO |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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