NPI age
14 years
Enumerated 2011-10-24
Across 1263 active physician assistant providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 865N24 | BCBS TEXAS |
| 05 (TX) | 289207701 |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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