NPI age
19 years
Enumerated 2006-09-01
Across 7 active radiology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | 0238393 | DLI |
| 01 (ID) | 77490 | BLUE CROSS OF IDAHO |
| 05 (WA) | 8519183 | |
| 05 (ID) | 808115100 | |
| 01 (ID) | 000010168313 | REGENCE BLUE SHIELD OF IDAHO |
Part of a multi-provider practice. 119 other active providers share this practice address in NPPES.
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