NPI age
19 years
Enumerated 2006-06-10
Across 115 active hospitalist providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 26955 | BLUE CROSS OF ID |
| 01 (ID) | 000010004512 | BLUE SHIELD OF ID |
| 05 (ID) | 805053400 |
Part of a multi-provider practice. 671 other active providers share this practice address in NPPES.
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