Individual
CYLE GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1055 N CURTIS ROAD, BOISE, ID 83706
(208) 367-2161
(208) 367-2989
Mailing address
PO BOX 9649, BOISE, ID 83707
(208) 472-8100
(208) 472-8172
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M-13010
ID
Other
Enumeration date
06/26/2009
Last updated
04/11/2017
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