MARK IDSTROM, MD
Radiology - Diagnostic Radiology
Active
Individual
NPI: 1639264443
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Radiology - Diagnostic Radiology | 2085R0202X | Yes | R2J97 (MO) |
Frequently Asked Questions
NPI 1639264443 is the National Provider Identifier for MARK IDSTROM, MD, a Radiology - Diagnostic Radiology provider located in Shawnee Mission, KS. This NPI was enumerated on October 4, 2006.
MARK IDSTROM, MD practices at 9100 W 74TH ST, Shawnee Mission, KS 66204.
Quick Facts
- NPI
- 1639264443
- Type
- Individual
- Enumerated
- Oct 4, 2006
- Last Updated
- Jul 8, 2007
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