Dj Marc Cardinal, Md Pa

NPI 1053493809 - Radiology - 2085R0202X

NPI Details
NPI 1053493809
Enumeration Date 10/20/2006
Last Updated 10/20/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DJ MARC DJ
Position PRESIDENT
Phone (208) 785-3810
Fax
Practice Location
98 POPLAR ST
BLACKFOOT ID, 83221-1758, US
Phone (208) 785-3810
Fax
Business Location
PO BOX 2896
IDAHO FALLS ID, 83403-2896, US
Phone (208) 523-4906
Fax (208) 523-2025
Toxanomy
Taxonomy Code 2085R0202X
License State
License Number
Remove 1053493809 NPI Number
 

According to our database, Dj Marc Cardinal, Md Pa NPI is 1053493809, taxonomy code is 2085R0202X Dj Marc Cardinal, Md Pa physically located at 98 Poplar St, Blackfoot ID, 83221-1758. NPI Number 1033115704 has the healthcare provider type.

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1053493809 NPI number is provided on an as is basis without warranty of any kind. 1053493809 is maintained by the National Plan & Provider Enumeration System. The contents of Dj Marc Cardinal, Md Pa are for informational purposes only.