OrganizationActive
Teton Radiology Madison LLC
NPI 1407081060 · Body Imaging Physician · Rexburg, ID
Provider details
- NPI number
- 1407081060
- Entity type
- Organization
- Primary specialty
- Body Imaging PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Strobel, Vp(208) 542-5000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
425 E 4th N
Rexburg, ID 83440-5390
Phone: (208) 356-4888
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 30015
Salt Lake City, UT 84130-0015
Registry dates
- Enumerated
- 2009-05-26
- Last updated
- 2026-01-05
- Certified
- 2026-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.