Organization
IDAHO MEDICAL IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT DEAN (BUSINESS MANAGER)
(208) 233-7931
Entity
Organization
Contact information
Practice address
444 HOSPITAL WAY STE 611, POCATELLO, ID 83201-2744
(208) 233-3000
Mailing address
PO BOX 2580, POCATELLO, ID 83206-2580
(208) 233-7931
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/20/2006
Last updated
11/28/2007
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