| NPI | 1053522961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY ANN GORMAN Manager 208-205-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471R0002X Radiologic Technologist, Radiation Therapy |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2023-01-24 |