NPI age
19 years
Enumerated 2006-07-25
Across 504 active internal medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010004097 | REGENCE BLUE SHIELD |
| 05 (WA) | 1073816 | |
| 01 (ID) | 36228 | BLUE CROSS OF IDAHO |
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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