Organization
IFI BIZ, INC
Active
Other names
Idaho Facial Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIE BEUKELMAN (OWNER/OPERATOR)
(208) 514-4740
Entity
Organization
Contact information
Practice address
8119 W USTICK RD STE 101, BOISE, ID 83704-5754
(208) 514-4740
Mailing address
8119 W USTICK RD STE 101, BOISE, ID 83704-5754
(208) 514-4740
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
4D2095
ID
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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