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Teton Radiology Madison Llc
Body Imaging Physician in Rexburg, Idaho
NPI 1407081060

Teton Radiology Madison Llc is a Body Imaging Physician based in Idaho Falls, ID and is specialized in Body Imaging. Teton Radiology Madison Llc practices in Rexburg, ID. The NPI Number for Teton Radiology Madison Llc is 1407081060 and holds a License No. (Idaho).

The current practice location address for Teton Radiology Madison Llc is 425 E 4Th N, Rexburg, ID and can be reached out via phone at 208-356-4888.

Location: 425 E 4Th N, Rexburg, ID, 83403-3007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407081060
Provider Name
Teton Radiology Madison Llc
Credential
Provider Entity Type
Organization
Address
425 E 4Th N, Rexburg, ID, 83403-3007
Phone Number
208-356-4888
Fax Number
Provider Enumeration Date
05/26/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
425 E 4Th N
City
Rexburg
State
Idaho
Zip
83440-5390
Phone Number
208-356-4888
Fax Number
person
Provider Business Mailing Address Details
Address
425 E 4Th N
City
Rexburg
State
Idaho
Zip
83440-5390
Phone Number
208-356-4888
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
()
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
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