NPI age
20 years
Enumerated 2005-10-21
Across 252 active pediatrics providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 805185100 | |
| 01 (ID) | 000010034815 | BLUE SHIELD |
| 01 (ID) | 45187 | BLUE CROSS |
| 01 (ID) | 370014214 | RAILROAD MEDICARE |
| 01 (ID) | 806353600 | HEALTHY CONNECTIONS |
| 01 (ID) | 000010004870 | BLUE SHIELD |
| 01 (ID) | DM743 | BLUE CROSS |
| 05 (ID) | 1467442467 |
Part of a multi-provider practice. 161 other active providers share this practice address in NPPES.
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