Provider profile

Individual

Matthew Scott Lidstrom

Radiology in Coeur D Alene, ID. NPI 1447512348, listed in the CMS NPI Registry since 06/15/2012. Bills Medicare.

NPI 1447512348Specialty RadiologyEnumerated 06/15/2012
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Registry and Medicare facts

Practice location
700 W Ironwood Dr Ste 175, Coeur D Alene, ID 83814
CMS NPI Registry
Phone
(208) 625-6300
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
06/15/2012
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
2,868 Part B
CMS Medicare 2024

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