NPI age
17 years
Enumerated 2008-09-24
Across 260 active surgery providers in Idaho.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010004529 | BLUE SHIELD |
| 05 (ID) | 805130600 | |
| 01 (ID) | DT307 | BLUE CROSS |
Multi-provider organization. 1 individual provider on file at this primary address.
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