-- MARK A TERRY -- MD
Individual Provider (NPI-1)
Active
Radiology, Radiological Physics
Provider Information
- NPI Number
1649228446- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 415 6TH ST, LEWISTON, ID, 835012431
- Phone
- (208) 799-5335
Specialties & Taxonomies
Radiology, Radiological Physics
Primary License: WA #MD00017547