NPI age
20 years
Enumerated 2006-04-11
Across 260 active surgery providers in Idaho.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 87460 | BLUE CROSS OF IDAHO |
| 05 (ID) | 002483000 |
Multi-provider organization. 2 individual providers on file at this primary address.
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