NPI age
19 years
Enumerated 2007-01-29
Across 99 active clinic/center providers in Idaho.
13 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 0026786 | |
| 01 | 1194861278 | DAVID WOLD |
| 01 (ID) | 000010004566 | REGENCE BLUE SHIELD OF ID |
| 01 | 1336285345 | D.JUSTIN STORMOGIPSON |
| 01 | 1386780484 | PATRICK PARDEN |
| 01 | 1487790598 | STEPHEN A MOSS |
| 01 (ID) | 182044801 | BLUESHIELD MED ADVANTAGE |
| 01 (ID) | 00943 | BLUE CROSS OF IDAHO |
| 01 | 1538205638 | RODERICK KENT |
Multi-provider organization. 13 individual providers on file at this primary address.
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