Organization · Type 2 NPI
Teton Mri of Idaho Falls
Radiology Clinic/Center · Idaho Falls, ID
NPI number
1053305144
Active
Practice location
2060 S Woodruff Ave
Idaho Falls, ID 83404-6396
Fax (208) 552-0829
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology Clinic/Center Primary | 261QR0200X | None listed |
Radiology Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1053305144
Teton Mri of Idaho Falls's National Provider Identifier is 1053305144, issued on Sep 6, 2005. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Idaho Falls, ID. The record was last updated on Jul 10, 2007.