Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nuclear Imaging & Therapy |
207UN0902X | 36 | Physician/Nuclear Medicine | |
Nuclear Cardiology |
207UN0901X | 36 | Physician/Nuclear Medicine |
| NPI # | 1265612543 |
| LBN Legal business name | TETON NUCLEAR MEDICINE SERVICE LLC |
| Authorized official | DANNY DAVIS - (MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/05/2007 |
| Last updated | 11/05/2007 - About 19 years ago |
| Identifiers | n/a |
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