NPI age
19 years
Enumerated 2007-03-01
Across 305 active specialist providers in Idaho.
15 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 0000100002014 | BLUE SHIELD OF IDAHO |
| 01 (ID) | 8K305 | BLUE CROSS GROUP ID # |
| 05 (ID) | 002756000 | |
| 01 | 185513400 | US DEPT OF LABOR |
| 01 | DA7257 | RAILROAD MEDICARE GRP ID |
Multi-provider organization. 15 individual providers on file at this primary address.
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