NPI age
19 years
Enumerated 2006-06-14
Across 336 active emergency medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010140861 | BSID |
| 01 (WA) | 6499AL | BSWA |
| 01 (WA) | 8945381 | VICTIMS OF CRIME |
| 01 (WA) | 0194430 | LIWA |
| 01 | 6059600 07 | USDLAB |
| 05 (ID) | 003572600 | |
| 01 (ID) | 51672 | BCID |
| 05 (UT) | Z2572 | |
| 05 (WA) | 1026806 | |
| 05 (ID) | 1118485 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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