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Organization

RADIOLOGY ASSOCIATES OF NORTH IDAHO, PA

Active
Other names
Kootenai Imaging
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SCOTT VENERA (PRACTICE MANAGER)
(208) 625-6309
Entity
Organization

Contact information

Practice address
700 W IRONWOOD DR STE 175, COEUR D ALENE, ID 83814-4401
(208) 625-6309
(208) 625-6310
Mailing address
700 W IRONWOOD DR STE 175, COEUR D ALENE, ID 83814-4401
(208) 625-6309
(208) 625-6310

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
261QM1300X
Multi-Specialty Clinic/Center
261QR0200X
Radiology Clinic/Center
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
08/29/2005
Last updated
02/09/2024
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