NPI age
20 years
Enumerated 2005-11-01
Across 1691 active family medicine providers in Idaho.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (OR) | 134054 | |
| 01 (ID) | E8340 | BCID GROUP |
| 05 (ID) | 8053332-00 | |
| 01 (OR) | X-009702000 | BLUE CROSS OF OREGON |
Multi-provider organization. 2 individual providers on file at this primary address.
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