NPI age
19 years
Enumerated 2006-10-06
Across 387 active physician assistant providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 8074378 | |
| 01 (ID) | 000010158621 | REGENCE BLUE SHIELD OF ID |
| 01 (ID) | PAD67 | BLUE CROSS OF IDAHO |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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