NPI age
20 years
Enumerated 2006-05-04
Across 1 active radiology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | 0227614 | DLI |
| 01 (ID) | P00468202 | TRAVELERS/RAILROAD MEDICARE |
| 05 (WA) | 8255408 | |
| 05 (ID) | 003973900 | |
| 01 (ID) | 77142 | BLUE CROSS OF IDAHO |
| 01 (ID) | 000010165165 | REGENCE BLUE SHIELD OF IDAHO |
Part of a multi-provider practice. 119 other active providers share this practice address in NPPES.
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