NPI age
19 years
Enumerated 2006-10-10
Across 102 active dermatology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 10147364 | REGENCE BLUE SHIELD OF ID |
| 05 (ID) | 806894800 | |
| 01 (ID) | 863436 | DESERET MUTUAL B.A. |
| 01 (ID) | S4927 | BLUE CROSS OF IDAHO |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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