NPI age
19 years
Enumerated 2007-05-02
Across 1691 active family medicine providers in Idaho.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (OR) | 182120956 | MEMBER NPI |
| 01 (OR) | P00661235 | RR MEMBER PTAN |
| 01 (OR) | CF9670 | RAILROAD MEDICARE |
| 05 (OR) | 026214 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →