Organization
INTERMOUNTAIN DIAGNOSTICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE R. ASPELUND R.V.T. (MANAGER/SEC/TREAS)
(208) 331-0436
Entity
Organization
Contact information
Practice address
200 N 4TH ST, SUITE 15, BOISE, ID 83702-6001
(208) 331-0436
(208) 331-3443
Mailing address
200 NORTH 4TH STREET, SUITE 15, BOISE, ID 83702
(208) 331-0436
(208) 331-3443
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
—
—
Other
Enumeration date
06/14/2006
Last updated
08/22/2020
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