NPI 1396765335 · live from the CMS NPI Registry
Michael Todd Burtis, M.D.
Radiology, Diagnostic Radiology in Lewiston, ID. National Provider Identifier 1396765335, active.
NPI record
| NPI | 1396765335 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 531 4th Ave, Lewiston, ID 83501 |
| Practice phone | 208-743-4393 |
| Enumerated | July 20, 2006 |
| Last updated | April 11, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | MD 13873 (HI) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | M13009 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.