Organization · Type 2 NPI
Renew Medical Group of Idaho, PC
Diagnostic Radiology Physician · Caldwell, ID
NPI number
1881408003
Active
Practice location
1717 Arlington Ave
Caldwell, ID 83605-4802
Mailing address
700 E Redlands Blvd Ste U302
Redlands, CA 92373-6109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | None listed |
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 1881408003
Renew Medical Group of Idaho, PC's National Provider Identifier is 1881408003, issued on Feb 6, 2025. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Caldwell, ID. The record was last updated on Jun 3, 2025.