Individual
MR. JAMES LEWIS COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT ARRT MA BS AS
Contact information
Practice address
111 BEVER GRADE, LAPWAI, ID 83540
(208) 843-2271
(208) 843-2658
Mailing address
PO BOX 367, LAPWAI, ID 83540-0367
(208) 843-2271
(208) 843-2658
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
396088 ARRT
ID
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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