NPI age
19 years
Enumerated 2007-02-09
Across 1691 active family medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010001597 | BS PLMC |
| 01 (ID) | 080011390 | RRMCR |
| 01 (ID) | 000010001598 | BS MVMC |
| 05 (ID) | 001607500 | |
| 01 (ID) | D7795 | BC PLMC |
| 01 (ID) | 51532 | BC MVMC |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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