Individual provider · Type 1 NPI

Geoffry De Gennaro Jr., MD

Diagnostic Radiology Physician · Boise, ID

NPI number 1336554740 Active

Practice location

190 E Bannock St
Boise, ID 83712-6241

Call (208) 381-2094 Map

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X4301105483 (MI)
Diagnostic Radiology Physician Primary 2085R0202XM-15099 (ID)

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

691 other providers at this address

Other diagnostic radiology physician providers in Boise

See all in Boise →

About NPI 1336554740

Geoffry De Gennaro Jr., MD's National Provider Identifier is 1336554740, issued on Jun 24, 2014. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Boise, ID. The record was last updated on Jul 23, 2020.