| NPI | 1043249253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE BROOKS President 208-463-5431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 2085P0229X Radiology, Pediatric Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |