NPI age
19 years
Enumerated 2006-10-25
Across 3776 active radiology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807399100 | |
| 01 (ID) | 000010156519 | REGENCE BS OF IDAHO |
| 01 (WA) | 0206650 | LABOR & INDUSTRIES |
| 05 (WA) | 8447179 | |
| 01 | P00301368 | RAILROAD MEDICARE |
| 01 (ID) | 76573 | BLUE CROSS OF IDAHO |
Part of a multi-provider practice. 224 other active providers share this practice address in NPPES.
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