NPI 1740216175

Boise Radiology Group PLLC

Organisation Diagnostic Radiology Physician Boise, ID

Practice location

Address: 620 W Hays St, Boise, ID 83702-5511
Phone: (208) 381-2094
Fax: (208) 381-1791
Mailing address: PO Box 1616, Evansville, IN 47706-0018

Authorised official

Name: Lisa Smith
Title: Administrator
Phone: (208) 433-9466

Registered specialties (3)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X

Other Radiology providers in Idaho →

Neuroradiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085N0700X

Vascular & Interventional Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0204X

Registry record

NPI: 1740216175
Entity type: Organization
NPI issued: 25 Jun 2006
Record last updated: 4 Mar 2024

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.