Organization
IDAHO ADVANCED IMAGING PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE W BROOKS MD (OWNER)
(208) 463-5431
Entity
Organization
Contact information
Practice address
1512 12TH AVE RD, NAMPA, ID 83686-6008
(208) 463-5431
Mailing address
PO BOX 9649, BOISE, ID 83707-4649
(208) 472-8121
(208) 472-8172
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/22/2006
Last updated
08/22/2020
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