Whalio Doctors

NPI 1720483530

Nathan Alan Banner, RT

Practitioner Radiologic Technologist Post Falls, ID

Practice location

Address
1800 N Summer Rose St, Post Falls, ID 83854-6003
Phone
(208) 277-5338

Registered specialties

Radiologic Technologist Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X Licence 529099 (ID)

Registry record

NPI
1720483530
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Oct 2014
Record last updated
23 Oct 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.