NATHAN ALAN BANNER

POST FALLS, ID
NPI1720483530
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy247100000X Radiologic Technologist
(Licence: ID  529099)
Enumeration Date2014-10-23
Last Update Date2014-10-23
Business Address
-- NATHAN ALAN BANNER R.T
1800 N SUMMER ROSE ST
POST FALLS, ID 83854-6003
Phone number: 208-277-5338
Mailing Address
-- NATHAN ALAN BANNER R.T
1800 N SUMMER ROSE ST
POST FALLS, ID 83854-6003
Phone number: 208-277-5338