NPI age
20 years
Enumerated 2006-05-09
Across 1691 active family medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010002534 | REGENCE BLUE SHIELD |
| 01 (ID) | 76963 | BLUE CROSS |
| 01 (ID) | 74161 | BLUE CROSS OLD |
| 01 (ID) | 313146 | ALTIUS |
| 05 (ID) | 003646800 | |
| 01 (ID) | 266529 | ALTIUS OLD |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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