NPI age
19 years
Enumerated 2006-06-19
Across 504 active internal medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010005765 | REGENCE |
| 01 (ID) | 54064 | BLUE CROSS OF IDAHO |
| 05 (ID) | 000826400 |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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