NPI age
19 years
Enumerated 2006-10-23
Across 260 active surgery providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010006002 | REGENCE BLUESHIELD |
| 05 (WA) | 1578509 | |
| 01 (ID) | DF516 | BLUE CROSS |
| 05 (ID) | 002385800 | |
| 01 (ID) | 002385800 | HEALTHY CONNECTIONS |
| 01 (WA) | 31261 | WA LABOR & INDUSTRIES |
Part of a multi-provider practice. 56 other active providers share this practice address in NPPES.
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