| Doctor Name: | DR. MICHAEL J CITRONE |
| NPI Number: | 1609886449 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 10021 |
| Business Practice Address: | 100 Hospital Dr Ketchum, ID - 83340 |
| Business Phone Number: | 2083812094 |
| Business Fax Number: | 2083811791 |
| Mailing Address: | 115 W Main Street, #202 BOISE |
| State: | ID |
| Postal Code: | 83702 |
| Phone Number: | 2084339466 |
| Fax Number: | 2084331149 |
| NPI Enumeration Date: | 08/08/2006 |
| NPI Last Update Date: | 04/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 10021 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ND |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |