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1295771129
SOUTHERN IDAHO RADIOLOGY PA
TWIN FALLS, ID
NPI
1295771129
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Entity Type
Organization
Authorized Contact
ROBERT WASSERSTROM
President
208-734-1177
Organization Subpart ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
Enumeration Date
2006-06-20
Last Update Date
2007-07-18
Business Address
SOUTHERN IDAHO RADIOLOGY PA
260 FALLS AVE
TWIN FALLS, ID 83301-3370
Phone number: 208-737-2192
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Mailing Address
SOUTHERN IDAHO RADIOLOGY PA
PO BOX 9649
BOISE, ID 83707-4649
Phone number: 208-472-8102
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