NPI age
17 years
Enumerated 2008-11-25
Across 68 active podiatrist providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (PA) | 1026781600003 | |
| 01 (PA) | 150016 | GEISINGER |
| 01 (PA) | P01022651 | PALMETTO / RAILROAD MEDICARE |
| 01 (PA) | 12933641 | MULTIPLAN |
| 01 (PA) | 50105709 | CAPITAL BLUE CROSS |
| 01 (PA) | 2593319 | HIGHMARK BC BS |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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