NPI age
20 years
Enumerated 2006-05-12
Across 78 active urology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | B5607 | BLUE CROSS BOISE |
| 01 (ID) | P00275996 | RAILROAD MEDICARE |
| 01 (ID) | 76710 | BLUE CROSS MERIDIAN |
| 01 (ID) | 000010005400 | BLUE SHIELD BOISE |
| 01 (ID) | 000010157301 | BLUE SHIELD MERIDIAN |
| 05 (ID) | 805434500 |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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