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
- City
- Coeur D Alene
- 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 Radiology — Diagnostic Radiology |
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