NPI 1053493809

Dj Marc Cardinal, MD PA

Organisation Diagnostic Radiology Physician Blackfoot, ID

Practice location

Address: 98 Poplar St, Blackfoot, ID 83221-1758
Phone: (208) 785-3810
Mailing address: PO Box 2896, Idaho Falls, ID 83403-2896

Authorised official

Name: Dj Marc Cardinal
Title: President
Phone: (208) 785-3810

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X

Other Radiology providers in Idaho →

Registry record

NPI: 1053493809
Entity type: Organization
NPI issued: 20 Oct 2006
Record last updated: 20 Oct 2011

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.