Dr. Casey McRoy, M.D.
Radiology, Diagnostic Radiology in Boise, ID. Individual provider (NPI-1).
NPI number1184019986
StatusActive
Last updated in NPPESJul 12, 2021
Details
- NPI
- 1184019986
- Entity type
- Individual (NPI-1)
- Name
- Dr. Casey McRoy
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 30, 2015
- Certification date
- Jul 9, 2021
- Last updated
- Jul 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | M-15712 | ID | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 72633-20 | WI |
Practice location
190 E Bannock StBoise, ID 83712-6241
Phone 208-381-2094 · Fax 208-381-1791
Mailing address
Po Box 1108Corvallis, OR 97339-1108
Phone 805-286-3826 · Fax 805-221-6843
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