Bone Density of North Idaho LLC

NPI #1093945016 in Coeur D Alene, Idaho

Provider Information

NPI Number
1093945016
Entity Type
Organization
Organization Name
Bone Density of North Idaho LLC
Subpart
Yes (part of a larger organization)
Parent Organization
NORTH IDAHO FAMILY PHYSICIANS LLC
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
Jul 24, 2009
Last Updated
Jul 24, 2009

Practice Location

Address
1401 LINCOLN WAY
State
Idaho
ZIP Code
83814-2334
Phone
(208) 664-5904

Authorized Official

Name
ERIC KOELSCH
Title
EXECUTIVE DIRECTOR
Phone
(208) 676-0145

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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