NPI age
18 years
Enumerated 2007-08-10
Across 2 active clinic/center providers in Idaho.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1307550001 | NORIDIAN |
| 01 (ID) | 410048068 | RAILROAD MEDICARE |
| 05 (ID) | 004321400 | |
| 01 (ID) | 000010015407 | REGENCE BLUESHIELD OF ID |
Multi-provider organization. 2 individual providers on file at this primary address.
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