NPI age
20 years
Enumerated 2006-04-11
Across 260 active surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 020024438 | RAILROAD MEDICARE |
| 01 (ID) | D3513 | BLUE CROSS OF ID |
| 01 (ID) | 000010000420 | REGENCE BLUE SHIELD |
| 05 (ID) | 002699100 |
Solo or small practice. No other active providers share this practice address in NPPES.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →