Idaho Independent Mri Llc

NPI 1255345765 - Clinic/Center - 261QR0208X

NPI Details
NPI 1255345765
Enumeration Date 07/28/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name FREDERICK L FREDERICK
Position OWNER
Phone (208) 732-1205
Fax
Practice Location
562 SHOUP AVE W
TWIN FALLS ID, 83301-5029, US
Phone (208) 732-1205
Fax
Business Location
562 SHOUP AVE W
TWIN FALLS ID, 83301-5029, US
Phone (208) 732-1205
Fax
Toxanomy
Taxonomy Code 261QR0208X
License State
License Number
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According to our database, Idaho Independent Mri Llc NPI is 1255345765, taxonomy code is 261QR0208X Idaho Independent Mri Llc physically located at 562 Shoup Ave W, Twin Falls ID, 83301-5029. NPI Number 1033115704 has the healthcare provider type.

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1255345765 NPI number is provided on an as is basis without warranty of any kind. 1255345765 is maintained by the National Plan & Provider Enumeration System. The contents of Idaho Independent Mri Llc are for informational purposes only.