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Organization
RADIOLOGY ASSOCIATES OF NORTH IDAHO, PA
Active
Organization
RADIOLOGY ASSOCIATES OF NORTH IDAHO, PA
Active
Other names
Kootenai Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT VENERA (PRACTICE MANAGER)
(208) 625-6309
Entity
Organization
Contact information
Practice address
700 W IRONWOOD DR STE 175, COEUR D ALENE, ID 83814-4401
(208) 625-6309
(208) 625-6310
Mailing address
700 W IRONWOOD DR STE 175, COEUR D ALENE, ID 83814-4401
(208) 625-6309
(208) 625-6310
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/29/2005
Last updated
02/09/2024
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