MICHAEL DAVID CARROLL M.D.
Individual Provider (NPI-1)
Active
Radiology, Diagnostic Radiology
Provider Information
- NPI Number
1639306566- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 190 E BANNOCK ST, BOISE, ID, 837126241
- Phone
- (208) 381-2094
- Fax
- (208) 381-1791
Specialties & Taxonomies
Radiology, Diagnostic Radiology
License: IL #125.056520
Radiology, Diagnostic Radiology
Primary License: ID #M-12823