Idaho Radiology Associates Pllc

NPI 1215973169 - Radiology - 2085N0700X

NPI Details
NPI 1215973169
Enumeration Date 06/21/2006
Last Updated 07/28/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DIANE DIANE
Position OWNER
Phone (208) 368-0095
Fax
Practice Location
2035 SILVERCREEK LN
BOISE ID, 83706-6112, US
Phone (208) 368-0095
Fax
Business Location
PO BOX 9649
BOISE ID, 83707-4649, US
Phone (208) 472-8119
Fax (208) 344-1926
Toxanomy
Taxonomy Code 2085N0700X
License State
License Number
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According to our database, Idaho Radiology Associates Pllc NPI is 1215973169, taxonomy code is 2085N0700X Idaho Radiology Associates Pllc physically located at 2035 Silvercreek Ln, Boise ID, 83706-6112. NPI Number 1033115704 has the healthcare provider type.

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1215973169 NPI number is provided on an as is basis without warranty of any kind. 1215973169 is maintained by the National Plan & Provider Enumeration System. The contents of Idaho Radiology Associates Pllc are for informational purposes only.