| NPI | 1235472895 |
|---|---|
| Doing Business As | PSC RADIATE |
| Entity Type | Organization |
| Authorized Contact | KATIE DAVENPORT Billing 208-520-2636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M3801) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2013-04-02 |