NPI 1396765335

Michael Todd Burtis, MD

Practitioner Diagnostic Radiology Physician Lewiston, ID

Practice location

Address: 531 4th Ave, Lewiston, ID 83501-2450
Phone: (208) 743-4393

Registered specialties (2)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence M13009 (ID)

Other Radiology providers in Idaho →

Diagnostic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence MD 13873 (HI)

Registry record

NPI: 1396765335
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jul 2006
Record last updated: 11 Apr 2016

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.