Gem State Radiology Llp

Radiologist (Diagnostic Radiology)

BOISE, ID
Phone: (208)-384-9060
Last Updated 7/3/2008

Overview

Gem State Radiology Llp is a healthcare organization in the BOISE area. Gem State Radiology Llp primary office location is at 161 E MALLARD DR and new patients are welcome to contact this healthcare organization for an appointment. The NPI number is 1154584712 and the information was updated approximately 17 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: Unknown

Participates in PECOS: NO

Contact Information

Primary Practice Location Information
161 E MALLARD DR SUITE 130
BOISE, ID 83706-3974 US
Phone: (208)-384-9060
Fax:

Practice Mailing Information
877 W MAIN STREET
BOISE, ID 83706-3974 US
Phone: (208)-384-9060
Fax: (208)-384-9023

No Licenses found

Type/Issuer	Identifier	State
MEDICAID	002874800	ID

Taxonomy	State	Primary?
Radiologist (Diagnostic Radiology) - Taxonomy Code 2085R0202X	--	Y
Single Specialty Group - Taxonomy Code 193400000X	ID	N
Radiologist (Vascular & Interventional Radiology) - Taxonomy Code 2085R0204X	--	N

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