NPI age
18 years
Enumerated 2008-04-17
Across 326 active clinic/center providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010144140 | REGENCY BLUE SHIELD |
| 01 (ID) | Q1711 | BLUE CROSS OF IDAHO |
Single-site organization. Only one practice location on file.
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