NPI age
19 years
Enumerated 2007-03-14
Across 9 active family medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 004312000 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.
Request a quote →