Organization · Type 2 NPI
Teton Radiology Caldwell
Diagnostic Radiology Physician · Caldwell, ID
NPI number
1336920420
Active
Practice location
4519 Enterprise Way
Caldwell, ID 83605-8055
Fax (208) 455-7538
Mailing address
PO Box 30015, Dept 598
Salt Lake City, UT 84130-0015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | None listed |
| Vascular & Interventional Radiology Physician | 2085R0204X | None listed |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3 other providers at this address
Other diagnostic radiology physician providers in Caldwell
About NPI 1336920420
Teton Radiology Caldwell's National Provider Identifier is 1336920420, issued on Oct 13, 2023. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Caldwell, ID. The record was last updated on Oct 19, 2026.