Organization · Type 2 NPI
Teton Radiology Diagnostic, LLC
Body Imaging Physician · Idaho Falls, ID
NPI number
1194969725
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 |
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 1194969725
Teton Radiology Diagnostic, LLC's National Provider Identifier is 1194969725, issued on Apr 27, 2009. 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 Jan 5, 2026.