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JAMES KATRIVESIS MD

Individual Provider (NPI-1) Active

Radiology, Vascular & Interventional Radiology

Provider Information

NPI Number
1851687008
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
3277 E LOUISE DR STE 100, MERIDIAN, ID, 836429360
Phone
(208) 706-7086

Specialties & Taxonomies

Radiology, Vascular & Interventional Radiology License: CA #A122890
Radiology, Vascular & Interventional Radiology Primary License: ID #M-16126

All Addresses

MAILING

190 E BANNOCK ST

BOISE, ID, 837126241

LOCATION

3277 E LOUISE DR STE 100

MERIDIAN, ID, 836429360

(208) 706-7086