NPI age
19 years
Enumerated 2007-02-12
Across 1691 active family medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 003739000 | |
| 01 (ID) | 000010000858 | BS SRMC |
| 01 (ID) | 080063338 | RRMCR |
| 01 (ID) | 000010000860 | BS PLMC |
| 01 (ID) | 10520 | BC PLMC |
| 01 (ID) | D0410 | BC SMRC |
| 01 (WA) | 135080 | DEPT OF LABOR WA |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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