NPI age
20 years
Enumerated 2006-01-25
Across 228 active obstetrics & gynecology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 805522900 | |
| 01 (ID) | 000010005656 | REGENCE BLUE SHIELD OF ID |
| 05 (OR) | 212843 | |
| 01 (ID) | J1742 | BLUE CROSS OF IDAHO |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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