NPI age
20 years
Enumerated 2005-08-12
Across 248 active radiology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 003972600 | |
| 01 (ID) | B1246 | BC ID - PF |
| 01 (ID) | DZ502 | BC ID - CDA |
| 05 (WA) | 8100224 | |
| 01 | P00104438 | RR MEDICARE - RANI |
| 01 (ID) | 1133570 | CIGNA MEDICARE - RANI |
| 01 (ID) | 300093018 | RR MEDICARE - NIIC |
Part of a multi-provider practice. 65 other active providers share this practice address in NPPES.
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