NPI age
20 years
Enumerated 2005-09-21
Across 32 active internal medicine providers in Idaho.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (CO) | 39820513 | |
| 05 (IL) | 036-049-991 |
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →