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Mountain Telerad, Pllc
Radiologic Technologist in Caldwell, Idaho
NPI 1821280371

Mountain Telerad, Pllc is a Radiologic Technologist based in Mountain Home, ID. Mountain Telerad, Pllc practices in Caldwell, ID. The NPI Number for Mountain Telerad, Pllc is 1821280371 and holds a License No. (Idaho).

The current practice location address for Mountain Telerad, Pllc is 4519 Enterprise Way, Caldwell, ID and can be reached out via phone at 208-455-7482 and via fax at 208-455-7538. You can also correspond with Mountain Telerad, Pllc through the mailing address at 141 VICTOR GUST DR, MOUNTAIN HOME, ID - 83647-1654 (mailing address contact number: 208-580-9524).

Location: 4519 Enterprise Way, Caldwell, ID, 83647-1654
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821280371
Provider Name
Mountain Telerad, Pllc
Credential
Provider Entity Type
Organization
Address
4519 Enterprise Way, Caldwell, ID, 83647-1654
Phone Number
208-455-7482
Fax Number
208-455-7538
Provider Enumeration Date
08/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4519 Enterprise Way
City
Caldwell
State
Idaho
Zip
83605
Phone Number
208-455-7482
Fax Number
208-455-7538
person
Provider Business Mailing Address Details
Address
4519 Enterprise Way
City
Caldwell
State
Idaho
Zip
83605
Phone Number
208-455-7482
Fax Number
208-455-7538
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
-
Taxonomy
247100000X
License No.
()
Definition
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.
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