Organization
VIRTUAL RADIOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE R NEWTON M.D. (MEMBER)
(208) 368-0095
Entity
Organization
Contact information
Practice address
2035 SILVERCREEK LN, BOISE, ID 83706-6112
(208) 368-0095
Mailing address
PO BOX 9649, BOISE, ID 83707-4649
(208) 472-8113
(208) 344-1926
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
05/24/2006
Last updated
08/03/2007
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