| NPI | 1689607897 |
|---|---|
| Doing Business As | CANCER CENTER OF IDAHO |
| Entity Type | Organization |
| Authorized Contact | JOHN E. GAMBOA Owner 208-672-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2010-09-03 |