Medical Imaging Assoc of Idaho Falls, PA
NPI #1043400484 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1043400484
- Entity Type
- Organization
- Organization Name
- Medical Imaging Assoc of Idaho Falls, PA
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDICAL IMAGING ASSOCIATES OF IDAHO FALLS
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Aug 1, 2007
- Last Updated
- Jul 12, 2024
Practice Location
- Address
- 3100 CHANNING WAY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7533
- Phone
- (208) 227-2600
Authorized Official
- Name
- SHARLEE LEBLEU
- Title
- VICE PRESIDENT
- Phone
- (480) 321-7026
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Physician Assistant |
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