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-- NATHAN ALAN BANNER -- R.T

Individual Provider (NPI-1) Active

Radiologic Technologist

Provider Information

NPI Number
1720483530
Provider Type
Individual Provider (NPI-1)
Credentials
R.T
Status
Active

Contact & Location

Address
1800 N SUMMER ROSE ST, POST FALLS, ID, 838546003
Phone
(208) 277-5338

Specialties & Taxonomies

Radiologic Technologist Primary License: ID #529099

All Addresses

LOCATION

1800 N SUMMER ROSE ST

POST FALLS, ID, 838546003

(208) 277-5338

MAILING

1800 N SUMMER ROSE ST

POST FALLS, ID, 838546003

(208) 277-5338