NPI 1851335509 · live from the CMS NPI Registry
Sean M Carr, M.D.
Radiology, Vascular & Interventional Radiology in Boise, ID. National Provider Identifier 1851335509, active.
NPI record
| NPI | 1851335509 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Vascular & Interventional Radiology 2085R0204X |
| Practice location | 190 E Bannock St, Boise, ID 83712 |
| Practice phone | 208-381-2094 |
| Mailing address | Po Box 9696, Boise, ID 83707 |
| Enumerated | June 15, 2006 |
| Last updated | October 22, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Vascular & Interventional Radiology primary | 2085R0204X | M9029 (ID) |
| Radiology, Diagnostic Radiology | 2085R0202X | M9029 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.