NPI age
20 years
Enumerated 2006-05-05
Across 260 active surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 75390 | BLUE CROSS OLD |
| 01 (ID) | 000010151099 | REGENCE BLUE SHEILD |
| 01 (ID) | HB400 | BLUE CROSS |
| 01 (ID) | 243412 | ALTIUS OLD |
| 01 (ID) | 313067 | ALTIUS |
Part of a multi-provider practice. 107 other active providers share this practice address in NPPES.
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