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NPI 1407807266 · live from the CMS NPI Registry

Dean Easton, M.D.

Radiology, Diagnostic Radiology in Moscow, ID. National Provider Identifier 1407807266, active.

NPI record

NPI1407807266 Type 1 · individual
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice location405 Styner Ave, Moscow, ID 83843
Practice phone208-882-8369
Mailing addressPo Box 9583, Moscow, ID 83843
EnumeratedMay 15, 2006
Last updatedOctober 12, 2011
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology2085R0202X5480 (NV)
Radiology, Diagnostic Radiology primary2085R0202XM-11414 (ID)
Radiology, Diagnostic Radiology2085R0202XMD60222657 (WA)

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