IDAHO ADVANCED IMAGING PA NPI 1649335373

NPI Information

IDAHO ADVANCED IMAGING PA is a diagnostic radiology radiology in Nampa, ID. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. IDAHO ADVANCED IMAGING PA NPI is 1649335373. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1512 12TH AVE RD
NAMPA, ID
ZIP 83686-008
Phone: (208) 463-5431

The provider's authorized official is Janice W Brooks .
The authorized official title is Owner and has the following contact phone number (208) 463-5431.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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