Individual provider · Type 1 NPI

Roderick Jack Willmore, MD

Diagnostic Radiology Physician · Idaho Falls, ID

NPI number 1346538253 Active

Practice location

3100 Channing Way
Idaho Falls, ID 83404-7533

Mailing address

2265 E Sunnyside Rd
Idaho Falls, ID 83404-7598

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XM13586 (ID)

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

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About NPI 1346538253

Roderick Jack Willmore, MD's National Provider Identifier is 1346538253, issued on Jul 12, 2011. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Idaho Falls, ID. The record was last updated on May 15, 2017.