Nathan Alan Banner, R.T Valid NPI
Individual provider · Radiologic Technologist · Post Falls, ID
- NPI
- 1720483530
- Type
- Individual (Type 1)
- Primary specialty
- Radiologic Technologist
- Specialty group
- Technologists, Technicians & Other Technical Service Providers
- Taxonomy code
- 247100000X
- License number
- 529099 (ID)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2014-10-23
- Last updated
- 2014-10-23
Practice location
1800 N Summer Rose St
Post Falls, ID 83854-6003
(208) 277-5338