MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS OF IDAHO PC

BURLEY, ID
NPI1053597237
Entity TypeOrganization
Authorized ContactCLARK A DAVIS
CEO
801-284-1705
Organization Subpart ?No
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: ID  C176456)
Enumeration Date2008-01-17
Last Update Date2008-11-12
Business Address
MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS OF IDAHO PC
1501 HILAND AVE
BURLEY, ID 83318-2682
Phone number: 801-284-1755
Mailing Address
MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS OF IDAHO PC
5444 GREEN ST
MURRAY, UT 84123-5632
Phone number: 801-284-1755