Organization
NAMPA RADIOLOGISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANICE BROOKS M.D. (PRESIDENT)
(208) 463-5431
Entity
Organization
Contact information
Practice address
1512 12TH AVE RD, NAMPA, ID 83686-6008
(208) 463-5431
Mailing address
PO BOX 9649, BOISE, ID 83707-4649
(208) 472-8103
(208) 344-1926
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
07/01/2006
Last updated
09/11/2025
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