Individual
DR. ALAN G AVONDET
Active
Individual
DR. ALAN G AVONDET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M4469
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010003854
REGENCE BLUE SHIELD
ID
01
—
4469-3
BLUE CROSS
ID
01
—
MD3207
IDAHO STATE NARC. #
ID
Enumeration date
06/18/2006
Last updated
07/13/2026
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