Teton Nuclear Medicine Service Llc

NPI 1265612543 - Nuclear Medicine - 207UN0901X

NPI Details
NPI 1265612543
Enumeration Date 11/05/2007
Last Updated 11/05/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DANNY L DANNY
Position MANAGER
Phone (208) 525-3201
Fax
Practice Location
2001 S WOODRUFF AVE
STE 20
IDAHO FALLS ID, 83404-6374, US
Phone (208) 525-3201
Fax
Business Location
2001 S WOODRUFF AVE
STE 20
IDAHO FALLS ID, 83404-6374, US
Phone (208) 525-3201
Fax
Toxanomy
Taxonomy Code 207UN0901X
License State
License Number
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According to our database, Teton Nuclear Medicine Service Llc NPI is 1265612543, taxonomy code is 207UN0901X Teton Nuclear Medicine Service Llc physically located at 2001 S Woodruff Ave, Idaho Falls ID, 83404-6374. NPI Number 1033115704 has the healthcare provider type.

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1265612543 NPI number is provided on an as is basis without warranty of any kind. 1265612543 is maintained by the National Plan & Provider Enumeration System. The contents of Teton Nuclear Medicine Service Llc are for informational purposes only.