Direct Radiology Wisconsin, Service Corporation

NPI #1457918674 in Coeur D Alene, Idaho

Provider Information

NPI Number
1457918674
Entity Type
Organization
Organization Name
Direct Radiology Wisconsin, Service Corporation
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
May 22, 2019
Last Updated
May 22, 2019

Practice Location

Address
1839 N GOVERNMENT WAY STE B
State
Idaho
ZIP Code
83814-3454
Phone
(855) 687-7237

Authorized Official

Name
DR. JOHN M ARIAS, MD
Title
PRINCIPAL
Phone
(855) 687-7237

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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