NPI age
16 years
Enumerated 2010-03-22
Across 248 active radiology providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 1356665285 | |
| 05 (WA) | 2020292 |
Part of a multi-provider practice. 671 other active providers share this practice address in NPPES.
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