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David M Madden, MD
Diagnostic Radiology Physician in Pocatello, Idaho
NPI 1518905413

David M Madden is a Diagnostic Radiology Physician based in Pocatello, ID and is specialized in Diagnostic Radiology. David M Madden practices in Pocatello, ID and has the professional credentials of MD. The NPI Number for David M Madden is 1518905413 and holds a License No. M5021 (Idaho).

The current practice location address for David M Madden is 777 Hospital Way, Pocatello, ID and can be reached out via phone at 208-239-2580.

Location: 777 Hospital Way, Pocatello, ID, 83205-4168
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518905413
Provider Name
David M Madden
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
777 Hospital Way, Pocatello, ID, 83205-4168
Phone Number
208-239-2580
Fax Number
Provider Enumeration Date
06/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
804254800 05 ID
M5021 01 ID LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
777 Hospital Way
City
Pocatello
State
Idaho
Zip
83201-5162
Phone Number
208-239-2580
Fax Number
person
Provider Business Mailing Address Details
Address
777 Hospital Way
City
Pocatello
State
Idaho
Zip
83201-5162
Phone Number
208-239-2580
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
M5021 (Idaho)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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