NPI age
19 years
Enumerated 2006-08-30
Across 1691 active family medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | HPAB4 | BLUE CROSS IDAHO |
| 01 (ID) | 000010154123 | REGENCE BLUE SHIELD IDAHO |
Solo or small practice. No other active providers share this practice address in NPPES.
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