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