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1194969725
TETON RADIOLOGY DIAGNOSTIC, LLC
IDAHO FALLS, ID
NPI
1194969725
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Entity Type
Organization
Authorized Contact
MICHAEL P HODEL
General Manager
208-542-5000
Organization Subpart ?
Yes
Primary Taxonomy
2085B0100X Radiology, Body Imaging
Enumeration Date
2009-04-27
Last Update Date
2009-04-27
Business Address
TETON RADIOLOGY DIAGNOSTIC, LLC
2001 S WOODRUFF AVE STE 17
IDAHO FALLS, ID 83404-6372
Phone number: 208-524-7237
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Mailing Address
TETON RADIOLOGY DIAGNOSTIC, LLC
PO BOX 2147
IDAHO FALLS, ID 83403-2147
Phone number: 208-552-8769
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