NPI age
19 years
Enumerated 2006-11-03
Across 248 active radiology providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 805987500 | |
| 01 | 300119937 | RAILROAD MEDICARE |
| 01 (ID) | 1145685 | MEDICARE PTAN |
Part of a multi-provider practice. 240 other active providers share this practice address in NPPES.
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