NPI age
20 years
Enumerated 2005-10-24
Across 1263 active physician assistant providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 970029609 | RR MEDICARE |
| 01 (ID) | 000010141117 | BCBS |
| 01 (ID) | PADA5 | BCBS |
| 01 (ID) | 000010141122 | BCBS |
| 01 (ID) | PADB3 | BCBS |
| 05 (ID) | 805341400 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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