| NPI | 1306941984 |
|---|---|
| Other Name | INTERMOUNTAIN RADIATION ONCOLOGY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL T. CALLAGHAN President/Owner 208-239-1750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2021-12-09 |