Provider profile

Individual

Roderick Jack Willmore

Radiology in Idaho Falls, ID. NPI 1346538253, listed in the CMS NPI Registry since 07/12/2011. Bills Medicare.

NPI 1346538253Specialty RadiologyEnumerated 07/12/2011
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Registry and Medicare facts

Practice location
3100 Channing Way, Idaho Falls, ID 83404
CMS NPI Registry
Phone
(208) 529-6111
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
07/12/2011
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
4,575 Part B
CMS Medicare 2024

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