NPI 1740623966 · live from the CMS NPI Registry
Ashley Michelle Burt, MD
Radiology, Diagnostic Radiology in Boise, ID. National Provider Identifier 1740623966, active.
NPI record
| NPI | 1740623966 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1055 N Curtis Rd, Boise, ID 83706 |
| Practice phone | 208-954-8070 |
| Mailing address | 877 W Main St Ste 603, Boise, ID 83702 |
| Enumerated | April 8, 2013 |
| Last updated | February 9, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | M-14653 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.