TETON RADIOLOGY DIAGNOSTIC A SERIES OF TETON GROUP ENTERPRISE NPI 1013085604

NPI Information

TETON RADIOLOGY DIAGNOSTIC A SERIES OF TETON GROUP ENTERPRISE is a body imaging radiology in Idaho Falls, ID. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. TETON RADIOLOGY DIAGNOSTIC A SERIES OF TETON GROUP ENTERPRISE NPI is 1013085604. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Teton Radiology Diagnostic Llc.

The provider's business location address is:

2001 S WOODRUFF AVE STE 17
IDAHO FALLS, ID
ZIP 83404-372
Phone: (208) 524-7237

The provider's authorized official is Michael P Hodel .
The authorized official title is General Manager and has the following contact phone number (208) 542-5000.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 11/20/2023.

Taxonomy Codes

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