NPI age
20 years
Enumerated 2006-03-20
Across 1691 active family medicine providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1972562841 | REGENCE BLUESHIELD |
| 05 (ID) | 1972562841 | |
| 01 (ID) | 78909 | BC/ID |
| 01 (WA) | 31254 | LABOR & INDUSTRIES |
| 01 (ID) | P01032049 | RR MEDICARE |
| 05 (WA) | 2015003 |
Part of a multi-provider practice. 56 other active providers share this practice address in NPPES.
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