NPI age
20 years
Enumerated 2005-09-20
Across 2 active psychiatry & neurology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807254701 | |
| 01 (ID) | 000010151186 | REGENCE BLUE SHIELD |
| 01 (ID) | 75135 | BLUE CROSS OF IDAHO |
| 05 (ID) | 807254700 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →