NPI 1043501273

Brian Lane McMahan, MD

Practitioner Diagnostic Radiology Physician Boise, ID

Practice location

Address: 190 E Bannock St, Boise, ID 83712-6241
Phone: (208) 381-2094
Fax: (208) 381-1791
Mailing address: PO Box 1108, Corvallis, OR 97339-1108

Registered specialties (2)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence M-13655 (ID)

Other Radiology providers in Idaho →

Diagnostic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence MD-43449 (IA)

Registry record

NPI: 1043501273
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Apr 2011
Record last updated: 10 Jan 2018

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.