NPI 1902842271 · live from the CMS NPI Registry
Terry J Buccambuso, M.D.
Radiology, Diagnostic Radiology in Twin Falls, ID. National Provider Identifier 1902842271, active.
NPI record
| NPI | 1902842271 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 260 Falls Ave, Twin Falls, ID 83301 |
| Practice phone | 208-737-2192 |
| Mailing address | Po Box 9649, Boise, ID 83707 |
| Enumerated | June 22, 2006 |
| Last updated | July 18, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | M6930 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.