NPI age
20 years
Enumerated 2006-02-24
Across 260 active surgery providers in Idaho.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 000010028207 | BLUE SHIELD |
| 01 | J3912 | BLUE CROSS |
| 01 | 134183 | OREGON HEALTH AND WELFARE |
Multi-provider organization. 20 individual providers on file at this primary address.
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