Pend Oreille Radiology INC
Radiology, Diagnostic Radiology in Sandpoint, ID. Organization (NPI-2).
NPI number1619243276
StatusActive
Last updated in NPPESMar 28, 2012
Details
- NPI
- 1619243276
- Entity type
- Organization (NPI-2)
- Legal business name
- Pend Oreille Radiology INC
- Organization subpart
- No
- Enumeration date
- Mar 28, 2012
- Last updated
- Mar 28, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | Yes |
Practice location
520 N Third AveSandpoint, ID 83864-1507
Phone 559-455-4000
Mailing address
Po Box 2228Coeur D Alene, ID 83816
Authorized official
Charles W Maile
Authorized Official
2082631441
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