Mountain Medical Physician Specialists of Idaho PC
Mountain Medical Physician Specialists of Idaho PC is a Diagnostic Radiology Physician in Burley, Idaho. Licensed in Idaho. Registered with an NPI since 2008.
- Licensed in
- ID
- In the registry since
- 2008
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1501 Hiland AveBurley, ID 83318-2682
Phone: (801) 284-1755
Fax: (801) 262-3897
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence C176456 (ID) |
|---|
Record details
| NPI number | 1053597237 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Clark Davis — Ceo · (801) 284-1705 |
| NPI enumerated | January 17, 2008 |
| Last updated in NPPES | November 12, 2008 |
| Mailing address | 5444 Green St, Murray, UT 84123-5632 |
Other providers in Burley
-
F. B. Fitts Jr , MD PC
1344 Hiland Ave, Burley, ID 83318-1564 · (208) 678-1138
-
Dr. Spencer John Robertson, MD
1501 Hiland Ave, Burley, ID 83318-2682 · (208) 678-4444