NPI age
19 years
Enumerated 2006-06-14
Across 248 active radiology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (MD) | 223007100 | |
| 05 (OH) | 2914252 | |
| 05 (ID) | 804198300 | |
| 05 (LA) | 1452114 | |
| 05 (SC) | QM7278 | |
| 01 | 1689617797 | TRICARE NORTH |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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