Bone Density Of North Idaho Llc

NPI 1093945016 - Radiology - 2085R0202X

NPI Details
NPI 1093945016
Enumeration Date 07/24/2009
Last Updated 07/24/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ERIC ERIC
Position EXECUTIVE DIRECTOR
Phone (208) 664-5904
Fax (208) 292-0797
Practice Location
1401 LINCOLN WAY
COEUR D ALENE ID, 83814-2334, US
Phone (208) 664-5904
Fax (208) 292-0797
Business Location
700 W IRONWOOD DR
SUITE 272E
COEUR D ALENE ID, 83814-2656, US
Phone (208) 676-0102
Fax (208) 676-0147
Toxanomy
Taxonomy Code 2085R0202X
License State Idaho
License Number O-45
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According to our database, Bone Density Of North Idaho Llc NPI is 1093945016, taxonomy code is 2085R0202X and license number is O-45, license state is located at Idaho. Bone Density Of North Idaho Llc physically located at 1401 Lincoln Way, Coeur D Alene ID, 83814-2334. NPI Number 1033115704 has the healthcare provider type.

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1093945016 NPI number is provided on an as is basis without warranty of any kind. 1093945016 is maintained by the National Plan & Provider Enumeration System. The contents of Bone Density Of North Idaho Llc are for informational purposes only.