Organization · Type 2 NPI
Teton Radiology Diagnostic A Series of Teton Group Enterprise
Body Imaging Physician · Idaho Falls, ID
NPI number
1013085604
Active
Practice location
2001 S Woodruff Ave Ste 17
Idaho Falls, ID 83404-6372
Mailing address
PO Box 30015, Dept 594
Salt Lake City, UT 84130-0015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Body Imaging Physician Primary | 2085B0100X | None listed |
| Neuroradiology Physician | 2085N0700X | None listed |
| Nuclear Radiology Physician | 2085N0904X | None listed |
| Pediatric Radiology Physician | 2085P0229X | None listed |
| Radiation Oncology Physician | 2085R0001X | None listed |
| Diagnostic Radiology Physician | 2085R0202X | None listed |
| Therapeutic Radiology Physician | 2085R0203X | None listed |
| Vascular & Interventional Radiology Physician | 2085R0204X | None listed |
| Radiological Physics Physician | 2085R0205X | None listed |
| Diagnostic Ultrasound Physician | 2085U0001X | None listed |
Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.
Another provider at this address
Other body imaging physician providers in Idaho Falls
About NPI 1013085604
Teton Radiology Diagnostic A Series of Teton Group Enterprise's National Provider Identifier is 1013085604, issued on Dec 1, 2006. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in Idaho Falls, ID. The record was last updated on Oct 19, 2026.