NPI 1265660443 · live from the CMS NPI Registry
Cyle Goodman, M.D.
Radiology, Diagnostic Radiology in Boise, ID. National Provider Identifier 1265660443, active.
NPI record
| NPI | 1265660443 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1055 N Curtis Road, Boise, ID 83706 |
| Practice phone | 208-367-2161 |
| Mailing address | Po Box 9649, Boise, ID 83707 |
| Enumerated | June 26, 2009 |
| Last updated | April 11, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | M-13010 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.