Provider profile

Individual

Blake D Niederhauser

Radiology in Boise, ID. NPI 1578726683, listed in the CMS NPI Registry since 07/08/2008. Bills Medicare.

NPI 1578726683Specialty RadiologyEnumerated 07/08/2008
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Registry and Medicare facts

Practice location
190 E Bannock St, Boise, ID 83712
CMS NPI Registry
Phone
(208) 381-2094
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
07/08/2008
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
3,541 Part B
CMS Medicare 2024

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