OrganizationActive
Boise Radiology Group PLLC
NPI 1740216175 · Diagnostic Radiology Physician · Boise, ID
Provider details
- NPI number
- 1740216175
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Smith, Administrator(208) 433-9466
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Neuroradiology Physician2085N0700X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
620 W Hays St
Boise, ID 83702-5511
Phone: (208) 381-2094
Fax: (208) 381-1791
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1616
Evansville, IN 47706-0018
Registry dates
- Enumerated
- 2006-06-25
- Last updated
- 2024-03-04
- Certified
- 2024-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.