NPI age
18 years
Enumerated 2008-05-19
Across 55 active clinic/center providers in Idaho.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | C4694 | BLUE CROSS |
| 01 (ID) | 31546 | REGENCE BLUE SHIELD |
Multi-provider organization. 1 individual provider on file at this primary address.
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