NPI 1649335373

Idaho Advanced Imaging PA

Organisation Diagnostic Radiology Physician Nampa, ID

Practice location

Address: 1512 12th Ave Rd, Nampa, ID 83686-6008
Phone: (208) 463-5431
Mailing address: PO Box 9649, Boise, ID 83707-4649

Authorised official

Name: Janice W Brooks
Title: Owner
Phone: (208) 463-5431

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X

Other Radiology providers in Idaho →

Registry record

NPI: 1649335373
Entity type: Organization
NPI issued: 22 Dec 2006
Record last updated: 22 Aug 2020

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.