NPI age
19 years
Enumerated 2006-06-11
Across 336 active emergency medicine providers in Idaho.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002855800 | |
| 01 (ID) | 8K867 | BLUE CROSS OF IDAHO |
| 01 (ID) | 000010006290 | REGENCE BLUE SHIELD OF ID |
Multi-provider organization. 20 individual providers on file at this primary address.
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