# RADIOLOGY CONSULTANTS PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700889581
- **Authorized official:** KAREN BETTS (OFFICE MANAGER)
- **Authorized official phone:** (208) 882-8369

## Contact information

- **Practice address:** 405 STYNER AVE, MOSCOW, ID 83843-9394
- **Practice address phone:** (208) 882-8369
- **Practice address fax:** (208) 882-1887
- **Mailing address:** PO BOX 9105, MOSCOW, ID 83843-1605
- **Mailing address phone:** (208) 882-8369
- **Mailing address fax:** (208) 882-1887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |

## Other

- **Enumeration date:** 05/24/2005
- **Last updated:** 02/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003184800 | — | ID |
| 05 | — | 7015811 | — | WA |
