Mountain Telerad, Pllc
NPI #1821280371 in Caldwell, Idaho
Provider Information
- NPI Number
- 1821280371
- Entity Type
- Organization
- Organization Name
- Mountain Telerad, Pllc
- Primary Specialty
- Radiologic Technologist
- Enumeration Date
- Aug 17, 2007
- Last Updated
- Aug 17, 2007
Practice Location
Authorized Official
- Name
- MR. MICHEAL BRENT JOHNSON, D.O.
- Title
- OWNER
- Phone
- (208) 455-7482
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiologic Technologist |
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