Whalio Doctors

NPI 1265612543

Teton Nuclear Medicine Service LLC

Organisation Nuclear Imaging & Therapy Physician Idaho Falls, ID

Practice location

Address
2001 S Woodruff Ave STE 20, Idaho Falls, ID 83404-6374
Phone
(208) 525-3201

Authorised official

Name
Danny L Davis
Title
Manager
Phone
(208) 525-3201

Registered specialties (2)

Nuclear Imaging & Therapy Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207UN0902X
Nuclear Cardiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207UN0901X

Registry record

NPI
1265612543
Entity type
Organization
NPI issued
5 Nov 2007
Record last updated
5 Nov 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.