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Mountain Valley Imaging Llc
Diagnostic Radiology Physician in Rexburg, Idaho
NPI 1578789525

Mountain Valley Imaging Llc is a Diagnostic Radiology Physician based in Rexburg, ID and is specialized in Diagnostic Radiology. Mountain Valley Imaging Llc practices in Rexburg, ID. The NPI Number for Mountain Valley Imaging Llc is 1578789525 and holds a License No. (Idaho).

The current practice location address for Mountain Valley Imaging Llc is 450 E Main St, Rexburg, ID and can be reached out via phone at 208-359-6508 and via fax at 208-356-3066.

Location: 450 E Main St, Rexburg, ID, 83440-0031
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578789525
Provider Name
Mountain Valley Imaging Llc
Credential
Provider Entity Type
Organization
Address
450 E Main St, Rexburg, ID, 83440-0031
Phone Number
208-359-6508
Fax Number
208-356-3066
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1156471-00 05 WY
71910 01 ID BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
450 E Main St
City
Rexburg
State
Idaho
Zip
83440-2048
Phone Number
208-359-6508
Fax Number
208-356-3066
person
Provider Business Mailing Address Details
Address
450 E Main St
City
Rexburg
State
Idaho
Zip
83440-2048
Phone Number
208-359-6508
Fax Number
208-356-3066
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
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Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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