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Todd B Burt, M.D.

Radiology, Diagnostic Radiology in Boise, ID. Individual provider (NPI-1).

NPI number1255367348
StatusActive
Last updated in NPPESFeb 14, 2018

Details

NPI
1255367348
Entity type
Individual (NPI-1)
Name
Todd B Burt
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 23, 2006
Last updated
Feb 14, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic RadiologyM3865IDYes

Practice location

190 E Bannock St
Boise, ID 83712-6241

Phone 208-381-2094

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Phone 208-381-2094 · Fax 208-344-1926

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