MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS OF IDAHO PC

Radiology - Diagnostic Radiology

Active Organization
NPI: 1053597237

Practice Address

1501 HILAND AVE
Burley, ID 83318

Phone: (801) 284-1755

Specialties

Specialty Code Primary License
Radiology - Diagnostic Radiology 2085R0202X Yes C176456 (ID)

Frequently Asked Questions

NPI 1053597237 is the National Provider Identifier for MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS OF IDAHO PC, a Radiology - Diagnostic Radiology provider located in Burley, ID. This NPI was enumerated on January 17, 2008.

Quick Facts

NPI
1053597237
Type
Organization
Enumerated
Jan 17, 2008
Last Updated
Nov 12, 2008

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