Phoenix Radiology, Pllc
NPI #1164493334 in Lewiston, Idaho
Provider Information
- NPI Number
- 1164493334
- Entity Type
- Organization
- Organization Name
- Phoenix Radiology, Pllc
- Primary Specialty
- Radiology - Vascular & Interventional Radiology
- Enumeration Date
- Jan 27, 2006
- Last Updated
- Sep 11, 2025
Practice Location
Authorized Official
- Name
- DR. MARK W PETERSON, M.D.
- Title
- OWNER
- Phone
- (208) 743-4393
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
| Radiology - Vascular & Interventional Radiology — Vascular & Interventional Radiology |
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