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NPI 1306895016 · live from the CMS NPI Registry

Janet M Cegnar, MD

Radiology, Diagnostic Radiology in Boise, ID. National Provider Identifier 1306895016, active.

NPI record

NPI1306895016 Type 1 · individual
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice location1055 N Curtis Rd, Gem State Radiology, Boise, ID 83706
Practice phone208-367-8855
Mailing addressPo Box 9649, Boise, ID 83707
EnumeratedMay 9, 2006
Last updatedMarch 28, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology2085R0202XMD18267 (OR)
Radiology, Diagnostic Radiology primary2085R0202XM-6257 (ID)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.