NPI age
19 years
Enumerated 2007-01-04
Across 1263 active physician assistant providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 610394500 | US DEPT. OF LABOR |
| 01 (ID) | 000010140548 | REGENCE |
| 01 (ID) | TD058 | BLUE CROSS OF IDAHO |
| 05 (ID) | 1780731786 | |
| 01 (ID) | 870721965 | STATE INSURANCE FUND |
| 01 (ID) | P00306612 | RAILROAD MEDICARE |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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