| NPI | 1215973169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE NEWTON Owner 208-368-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2007-07-28 |