Teton Nuclear Medicine Service in Idaho Falls - Nuclear Cardiology
Teton Nuclear Medicine Service - NPI 1710072954
Teton Nuclear Medicine Service is a Nuclear Cardiology in Idaho Falls, Idaho. Teton Nuclear Medicine Service practices all healthcare services and medical treatments related to Nuclear Cardiology. The NPI Number for Teton Nuclear Medicine Service is 1710072954. The last update date is 2020-08-22.
Teton Nuclear Medicine Service's current location address is 2001 S Woodruff, Idaho Falls, Idaho. You can contact this provider via phone number 2085253201 and fax number 2085258896. The mailing address for Teton Nuclear Medicine Service is 2001 S Woodruff, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Teton Nuclear Medicine Service |
|---|---|
| Address | 2001 S Woodruff, Idaho Falls, Idaho |
| Phone Number | 2085253201 |
| Fax Number | 2085258896 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER CEO |
|---|---|
| Authorized Official Name | Garcia Pena Miguel |
| Credentials | RADIATION |
| Telephone Number | 2085253201 |
NPI Number Detail
| NPI Number | 1710072954 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2001 S Woodruff |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 83404 |
| Phone Number | 2085253201 |
| Fax Number | 2085258896 |
Provider's Primary Taxonomy Detail
| Speciality | Nuclear Cardiology |
|---|---|
| Taxonomy | 207Un0901X |
|
Definition: A nuclear medicine physician who specializes in nuclear cardiology. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10606753 | BLUE SHIELD | ||
| 89763 | BLUE CROSS |
Post Comment/ Review Below
What is the unique identifier code issued to Teton Nuclear Medicine Service by the Centers for Medicare & Medicaid Services (CMS)?
The Teton Nuclear Medicine Service has been assigned the NPI (National Provider Identifier) 1710072954. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Teton Nuclear Medicine Service is located?
The Teton Nuclear Medicine Service is situated at the following address: 2001 S Woodruff, Idaho Falls, ID, 83404.
What is Teton Nuclear Medicine Service's area of expertise and its corresponding taxonomy classification?
The Teton Nuclear Medicine Service's field of specialization is Nuclear Cardiology, and it falls under the taxonomy code 207Un0901X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1710072954 to Teton Nuclear Medicine Service?
The Centers for Medicare & Medicaid Services assigned the 1710072954 to Teton Nuclear Medicine Service on 2006-10-04.
When was the Teton Nuclear Medicine Service's information last updated?
The Teton Nuclear Medicine Service's information was last updated on 2020-08-22.
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