Mountain Medical Physician Specialists of Idaho PC
Mountain Medical Physician Specialists of Idaho PC provides Diagnostic Radiology Physician services in Burley, Idaho. Licensed in Idaho. Registered with an NPI since 2008.
- Licensed in
- ID
- In the registry since
- 2008
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1501 Hiland AveBurley, ID 83318-2682 Not confirmed with CMS for 17 years — call before visiting
Phone: (801) 284-1755
Fax: (801) 262-3897
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence C176456 (ID) |
|---|
Record details
| NPI number | 1053597237 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Clark Davis — Ceo · (801) 284-1705 |
| NPI enumerated | January 17, 2008 |
| Last updated in NPPES | November 12, 2008 |
| Mailing address | 5444 Green St, Murray, UT 84123-5632 |
Other providers in Burley
-
F. B. Fitts Jr , MD PC
1344 Hiland Ave, Burley, ID 83318-1564 · (208) 678-1138
-
Dr. Spencer John Robertson, MD
1501 Hiland Ave, Burley, ID 83318-2682 · (208) 678-4444