Individual provider · Type 1 NPI
Lee J. Secrist, MD
Diagnostic Radiology Physician · Coeur D Alene, ID
NPI number
1912909623
Active
Practice location
3754 S Brentwood Ln
Coeur D Alene, ID 83814-7053
Fax (612) 294-4903
Mailing address
11995 Singletree Ln, Suite 500
Eden Prairie, MN 55344-5347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | M7731 (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 1912909623
Lee J. Secrist, MD's National Provider Identifier is 1912909623, issued on Aug 12, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Coeur D Alene, ID. The record was last updated on Aug 16, 2013.