NPI 1265612543
Teton Nuclear Medicine Service LLC
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
Nuclear Cardiology Physician
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.