NPI 1124093117 · live from the CMS NPI Registry
Allen A. Eng, M.D.
Radiology, Diagnostic Radiology in Pocatello, ID. National Provider Identifier 1124093117, active.
NPI record
| NPI | 1124093117 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1151 Hospital Way, Bldg B, Pocatello, ID 83201 |
| Practice phone | 208-233-1187 |
| Mailing address | 1871 Anita Place, Pocatello, ID 83201 |
| Enumerated | February 22, 2006 |
| Last updated | August 4, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | m-4519 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.