NPI age
20 years
Enumerated 2006-04-05
Across 336 active emergency medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 | G27958 | BLUE CROSS |
| 01 | 00G279580 | MEDI CAL |
| 01 | 00G279580 | BLUE SHIELD |
| 01 | 010039635 | RAILROAD MEDICARE |
| 05 (CA) | 00G279580 |
Solo or small practice. No other active providers share this practice address in NPPES.
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