Organization Name: | NAMPA RADIOLOGISTS PA |
NPI Number: | 1043249253 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANICE BROOKS (PRESIDENT) |
Mailing Address: | 1512 12th Ave Rd Nampa |
State: | ID US |
Postal Code: | 836866008 |
Phone Number: | 2084635431 |
Fax Number: | |
NPI Enumeration Date: | 07/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085N0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Neuroradiology |
Taxonomy Definition: | A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |