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

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed
Vascular & Interventional Radiology Physician 2085R0204XNone 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

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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.