| NPI | 1982197562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORENE GRIFFITH Credentialing Director 208-437-2114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |