NPI age
19 years
Enumerated 2006-10-27
Across 32 active internal medicine providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 8451163 | |
| 01 | 308120 | INTERNAL ID-MOTOR VEHICLE ID |
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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