NPI age
19 years
Enumerated 2007-02-09
Across 1691 active family medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010001142 | BS SRMC |
| 01 (ID) | 28910 | BC PLMC |
| 01 (ID) | D7555 | BC SRMC |
| 01 (ID) | 000010001143 | BS PLMC |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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