Teton Open Mri of Pocatello, LLC
NPI #1194798397 in Pocatello, Idaho
Provider Information
- NPI Number
- 1194798397
- Entity Type
- Organization
- Organization Name
- Teton Open Mri of Pocatello, LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Feb 8, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MS. BONNIE C GRAY
- Title
- ADMINISTRATIVE ASSISTANT
- Phone
- (208) 552-0828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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