| NPI | 1649669953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P HODEL Secretary 208-542-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology |
| Enumeration Date | 2015-01-10 |
| Last Update Date | 2015-04-22 |