NPI age
10 years
Enumerated 2015-07-16
Across 38 active internal medicine providers in Idaho.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | M11673 | |
| 01 | 1477578300 | NPI |
Multi-provider organization. 20 individual providers on file at this primary address.
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