NPI age
20 years
Enumerated 2005-10-21
Across 1691 active family medicine providers in Idaho.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010032233 | BLUE SHIELD |
| 01 (ID) | 806354700 | HEALTHY CONNOCTIONS |
| 01 (ID) | 000010032234 | BLUE SHIELD |
| 01 (ID) | 110221065 | RAILROAD MEDICARE |
| 01 (ID) | 41996 | BLUE CROSS |
| 05 (ID) | 806008000 |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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