An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
ID license #M-3434taxonomy 174400000X
Identifiers
Type
Value
Notes
01 (ID)
000010005308
REGENCE BLUE SHIELD OF ID
01 (ID)
07302
BLUE CROSS OF IDAHO
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
WALT'S OPTICAL SHOP
Type code 3recorded 2007-05-04
Practice context
Single-site organization. Only one practice location on file.
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