Dr. Michael Sean Enslow, M.D.
Radiology, Diagnostic Radiology in Idaho Falls, ID. Individual provider (NPI-1).
NPI number1295094530
StatusActive
Last updated in NPPESMay 14, 2018
Details
- NPI
- 1295094530
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Sean Enslow
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 7, 2012
- Last updated
- May 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | M-13861 | ID | Yes |
Practice location
3100 Channing WayIdaho Falls, ID 83404
Phone 208-529-6111
Mailing address
2265 E Sunnyside RdIdaho Falls, ID 83404-7598
Phone 208-542-5000 · Fax 208-542-5151
Other practice locations
2301 Erwin Rd
Durham, NC 27705-4699
Durham, NC 27705-4699
Phone 919-684-1111
2301 Erwin Rd
Durham, NC 27705
Durham, NC 27705
Phone 919-684-1111
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