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Contact Information

RADIOLOGY PHYSICIANS OF IDAHO
1151 HOSPITAL WAY BLDG B
POCATELLO, ID83201
 Phone: 208-233-1187
 Fax: 208-234-3841
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for RADIOLOGY PHYSICIANS OF IDAHO · (Female)

NPI Number 1952377459
Status Active
Credentials
Entity Individual
Enumeration date 02/24/2006
Last updated 08/04/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • ID Medicaid 002473400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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