NPI age
9 years
Enumerated 2017-04-09
Across 504 active internal medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1942970272 | |
| 05 (ID) | 1669533154 |
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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