NPI Profile for SAWTOOTH DIAGNOSTIC IMAGING PLLC in KETCHUM, ID.
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Vascular & Interventional Radiology |
2085R0204X | 94 | Physician/Interventional Radiology | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Neuroradiology |
2085N0700X |
| NPI # | 1396792305 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/27/2006 | |
| Last updated | 09/11/2025 - About 9 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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