Teton Mri Of Idaho Falls

NPI 1053305144 - Clinic/Center - 261QR0200X

NPI Details
NPI 1053305144
Enumeration Date 09/06/2005
Last Updated 07/10/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name BONNIE C. BONNIE
Position ADMINISTRATIVE ASSISTANT
Phone (208) 552-0828
Fax (208) 552-0829
Practice Location
2060 S WOODRUFF AVE
IDAHO FALLS ID, 83404-6396, US
Phone (208) 552-0828
Fax (208) 552-0829
Business Location
2060 S WOODRUFF AVE
IDAHO FALLS ID, 83404-6396, US
Phone (208) 552-0828
Fax (208) 552-0829
Toxanomy
Taxonomy Code 261QR0200X
License State
License Number
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According to our database, Teton Mri Of Idaho Falls NPI is 1053305144, taxonomy code is 261QR0200X Teton Mri Of Idaho Falls physically located at 2060 S Woodruff Ave, Idaho Falls ID, 83404-6396. NPI Number 1033115704 has the healthcare provider type.

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1053305144 NPI number is provided on an as is basis without warranty of any kind. 1053305144 is maintained by the National Plan & Provider Enumeration System. The contents of Teton Mri Of Idaho Falls are for informational purposes only.