| NPI | 1265612543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY L DAVIS Manager 208-525-3201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-05 |