| NPI | 1306917000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN HOFFMAN Business Manager 208-743-0962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography (Licence: ID 164590) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |