Individual
MICHAEL L GURR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
5510 ROUNDUP ST, BOISE, ID 83709-6461
(208) 422-0600
Mailing address
5510 ROUNDUP ST, BOISE, ID 83709-6461
(208) 422-0600
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
083509
ARRT
—
Enumeration date
10/19/2010
Last updated
10/19/2010
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