NPI 1316360985

Patrick Glascock, RTR

Practitioner Radiography Radiologic Technologist Rathdrum, ID

Practice location

Address: 5260 W Hayden Ave, Rathdrum, ID 83858-9467
Phone: (208) 660-5943
Mailing address: 1920 W Canfield Ave, Coeur D Alene, ID 83815-0413

Registered specialties (2)

Radiography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3402X Licence RT 60406832 (WA)

Other Radiologic Technologist providers in Idaho →

Radiography Radiologic Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3402X Licence 914469 (OR)

Registry record

NPI: 1316360985
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jan 2014
Record last updated: 31 Jan 2014

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.