| NPI | 1093945016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC KOELSCH Executive Director 208-676-0145 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: ID O-45) |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2009-07-24 |