Organization · Type 2 NPI

Teton Open Mri of Pocatello, LLC

Radiology Clinic/Center · Pocatello, ID

NPI number 1194798397 Active

Practice location

246 N 18th Ave
Pocatello, ID 83201-3356

Fax (208) 552-0829

Specialties and licenses

TaxonomyCodeLicense
Radiology Clinic/Center Primary 261QR0200XNone listed

Radiology Clinic/Center: Definition to come...

3 other providers at this address

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About NPI 1194798397

Teton Open Mri of Pocatello, LLC's National Provider Identifier is 1194798397, issued on Feb 8, 2006. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Pocatello, ID. The record was last updated on Aug 22, 2020.