Organization
RADIAL FIRST CARDIOVASCULAR ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E LASSETTER M.D. (MEDICAL DIRECTOR)
(480) 318-7757
Entity
Organization
Contact information
Practice address
2001 S WOODRUFF AVE, SUITE 3, IDAHO FALLS, ID 83404-6371
(208) 523-3050
(208) 523-4985
Mailing address
2001 S WOODRUFF AVE, SUITE 3, IDAHO FALLS, ID 83404-6371
(208) 523-3050
(208) 523-4985
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
M11673
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477578300
NPI
—
05
—
M11673
—
ID
Enumeration date
07/16/2015
Last updated
08/10/2015
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