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1649335373
IDAHO ADVANCED IMAGING PA
NAMPA, ID
NPI
1649335373
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Entity Type
Organization
Authorized Contact
JANICE W BROOKS
Owner
208-463-5431
Organization Subpart ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
Enumeration Date
2006-12-22
Last Update Date
2020-08-22
Business Address
IDAHO ADVANCED IMAGING PA
1512 12TH AVE RD
NAMPA, ID 83686-6008
Phone number: 208-463-5431
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Mailing Address
IDAHO ADVANCED IMAGING PA
PO BOX 9649
BOISE, ID 83707-4649
Phone number: 208-472-8121
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