NPI age
20 years
Enumerated 2005-10-21
Across 1691 active family medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010003921 | BCBS |
| 01 (ID) | 000010149472 | BLUE SHIELD |
| 05 (ID) | 805092600 | |
| 01 (ID) | 72363 | BCBS |
| 01 (ID) | 080142087 | RR MEDICARE |
| 01 (ID) | 806357000 | HEALTHY CONNECTIONS |
| 01 (ID) | PAUL1 | BLUE CROSS |
Part of a multi-provider practice. 47 other active providers share this practice address in NPPES.
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