NPI age
20 years
Enumerated 2005-08-11
Across 248 active radiology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 300086415 | RR MEDICARE |
| 01 (ID) | P00104434 | RR MEDICARE - RANI |
| 01 (ID) | 72694 | BC ID - RANI |
| 01 (ID) | B1253 | BC ID - PF |
| 01 (ID) | DM776 | BC ID - CDA |
| 05 (ID) | 805216100 | |
| 05 (WA) | 8237687 | |
| 01 (ID) | 1139160 | CIGNA MEDICARE - RANI |
Part of a multi-provider practice. 65 other active providers share this practice address in NPPES.
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