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Organization
SAWTOOTH DIAGNOSTIC IMAGING PLLC
Active
Organization
SAWTOOTH DIAGNOSTIC IMAGING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA SMITH (ADMINISTRATOR)
(208) 433-9466
Entity
Organization
Contact information
Practice address
100 HOSPITAL DR., KETCHUM, ID 83340
(208) 727-8205
Mailing address
PO BOX 9649, BOISE, ID 83707-4649
(208) 472-8125
(208) 344-1926
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
05/27/2006
Last updated
09/11/2025
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