NPI age
19 years
Enumerated 2006-10-17
Across 305 active specialist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010025022 | REGENCE BLUE SHIELD |
| 01 (ID) | T3548 | BLUE CROSS |
| 01 (WA) | 126619 | WASHINGTON L&I |
| 01 (ID) | P00155553 | RAILROAD MEDICARE |
| 01 (ID) | 14490 | GROUP HEALTH |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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