NPI age
20 years
Enumerated 2006-03-14
Across 122 active ophthalmology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 0638840001 | DMERC |
| 05 (ID) | 806911600 | |
| 01 (ID) | 000010147359 | REGENCE BLUE SHIELD OF ID |
| 01 (ID) | 70862 | BLUE CROSS OF IDAHO |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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