NPI age
19 years
Enumerated 2007-04-04
Across 252 active pediatrics providers in Idaho.
6 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010022948 | BLUE SHIELD |
| 01 (ID) | HW207 | BLUE CROSS OF ID |
| 05 (ID) | 0028238 |
Multi-provider organization. 6 individual providers on file at this primary address.
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