NPI age
19 years
Enumerated 2006-11-28
Across 23 active radiology providers in Idaho.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | M-17359 | |
| 05 (TN) | Q006012 |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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