MOUNTAIN TELERAD, PLLC

CALDWELL, ID
NPI1821280371
Entity TypeOrganization
Authorized ContactMICHEAL BRENT JOHNSON
Owner
208-455-7482
Organization Subpart ?No
Primary Taxonomy247100000X Radiologic Technologist
Enumeration Date2007-08-17
Last Update Date2007-08-17
Business Address
MOUNTAIN TELERAD, PLLC
4519 ENTERPRISE WAY
CALDWELL, ID 83605
Phone number: 208-455-7482
Mailing Address
MOUNTAIN TELERAD, PLLC
141 VICTOR GUST DR
MOUNTAIN HOME, ID 83647-1654
Phone number: 208-580-9524
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