NPI age
18 years
Enumerated 2007-06-06
Across 1691 active family medicine providers in Idaho.
8 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010137639 | BLUESHIELD |
| 01 (ID) | S3788 | BLUECROSS |
Multi-provider organization. 8 individual providers on file at this primary address.
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