NPI age
19 years
Enumerated 2006-10-09
Across 248 active radiology providers in Idaho.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807481100 | |
| 05 (OR) | 005925 |
Part of a multi-provider practice. 144 other active providers share this practice address in NPPES.
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