NPI 1053305144

Teton MRI of Idaho Falls

Organisation Radiology Clinic/Center Idaho Falls, ID

Practice location

Address: 2060 S Woodruff Ave, Idaho Falls, ID 83404-6396
Phone: (208) 552-0828
Fax: (208) 552-0829

Authorised official

Name: Bonnie C. Gray
Title: Administrative Assistant
Phone: (208) 552-0828

Registered specialties

Radiology Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR0200X

Other Clinic/Center providers in Idaho →

Registry record

NPI: 1053305144
Entity type: Organization
NPI issued: 6 Sep 2005
Record last updated: 10 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.