NPI age
20 years
Enumerated 2006-02-02
Across 3 active radiology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (VA) | 1457323693 | |
| 05 (NC) | 5912019 |
Part of a multi-provider practice. 378 other active providers share this practice address in NPPES.
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