NPI age
20 years
Enumerated 2005-08-10
Across 248 active radiology providers in Idaho.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 8J422 | BC ID - PF |
| 01 (ID) | CR0440 | RR MEDICARE |
| 05 (WA) | 7058530 | |
| 01 (ID) | 86371 | BC ID - CDA |
| 05 (ID) | 002735600 |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 20 individual providers on file at this primary address.
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