1437178399 IDAHO FACIAL IMAGING LLC

Radiology Clinic/Center

Active

Basic Information

Organization Name
IDAHO FACIAL IMAGING LLC
Enumeration Date
July 19, 2006
Last Update
August 22, 2020
Authorized Official
DR. BRADEN M STAUTS DDS
OWNER/PARTNER
Phone: (208) 514-4740

Practice Location

Address
8119 USTICK RD
SUITE 101
BOISE, ID 837045754
Phone
(208) 514-4740
Fax
(208) 376-7012

Mailing Address

Address
8119 USTICK RD
SUITE 101
BOISE, ID 837045754
Phone
(208) 514-4740
Fax
(208) 376-7012

Specialties & Taxonomies

Specialty Code Classification License State Primary
Radiology Clinic/Center
Radiology
261QR0200X Clinic/Center 4-D-2095 ID Primary

Other Identifiers

Identifier Type State Issuer
000010156829 01 ID REGENCE BLUE SHIELD-MEDIC
000010156827 01 ID REGENCE BLUE SHIELD-DENTA

Frequently Asked Questions

What is IDAHO FACIAL IMAGING LLC's NPI number?
IDAHO FACIAL IMAGING LLC's NPI number is 1437178399.
Which doctor has NPI number 1437178399?
The doctor with NPI number 1437178399 is IDAHO FACIAL IMAGING LLC.
What is IDAHO FACIAL IMAGING LLC's practice address?
IDAHO FACIAL IMAGING LLC's practice address is 8119 USTICK RD, SUITE 101, BOISE, ID, 837045754.
Which doctor practices at 8119 USTICK RD, SUITE 101, BOISE, ID, 837045754?
IDAHO FACIAL IMAGING LLC practices at 8119 USTICK RD, SUITE 101, BOISE, ID, 837045754.
What is IDAHO FACIAL IMAGING LLC's phone number?
IDAHO FACIAL IMAGING LLC's phone number is (208) 514-4740.
Who is (208) 514-4740?
(208) 514-4740 is the phone number for IDAHO FACIAL IMAGING LLC.
What is IDAHO FACIAL IMAGING LLC's specialty?
IDAHO FACIAL IMAGING LLC's specialty is Radiology Clinic/Center.
What type of doctor is IDAHO FACIAL IMAGING LLC?
IDAHO FACIAL IMAGING LLC is a Radiology Clinic/Center.
Is IDAHO FACIAL IMAGING LLC a Radiology?
Yes, IDAHO FACIAL IMAGING LLC is a Radiology.
Is IDAHO FACIAL IMAGING LLC still practicing?
Yes, IDAHO FACIAL IMAGING LLC is currently practicing.
Is IDAHO FACIAL IMAGING LLC accepting new patients?
IDAHO FACIAL IMAGING LLC may be accepting new patients. Please call their office at (208) 514-4740 to inquire about availability.
Is NPI 1437178399 still active?
Yes, NPI 1437178399 is currently active.
Where does IDAHO FACIAL IMAGING LLC practice?
IDAHO FACIAL IMAGING LLC practices in BOISE, ID.