Organization · Type 2 NPI

Mountain Medical Physician Specialists of Idaho PC

Diagnostic Radiology Physician · Burley, ID

NPI number 1053597237 Active

Practice location

1501 Hiland Ave
Burley, ID 83318-2682

Fax (801) 262-3897

Mailing address

5444 Green St
Murray, UT 84123-5632

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XC176456 (ID)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

69 other providers at this address

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About NPI 1053597237

Mountain Medical Physician Specialists of Idaho PC's National Provider Identifier is 1053597237, issued on Jan 17, 2008. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Burley, ID. The record was last updated on Nov 12, 2008.