Individual provider · Type 1 NPI

Michael David Carroll, MD

Diagnostic Radiology Physician · Boise, ID

NPI number 1639306566 Active

Practice location

190 E Bannock St
Boise, ID 83712-6241

Call (208) 381-2094 Map

Fax (208) 381-1791

Mailing address

PO Box 1108
Corvallis, OR 97339-1108

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X125.056520 (IL)
Diagnostic Radiology Physician Primary 2085R0202XM-12823 (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 1639306566

Michael David Carroll, MD's National Provider Identifier is 1639306566, issued on Jun 18, 2009. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Boise, ID. The record was last updated on Jan 10, 2018.