Active NPI 1447402425 Individual Practitioner Male Practitioner

Dr. Christopher James Malcom , DO

Radiology - Diagnostic Radiology • Caldwell, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Christopher Malcom, DO is a certified Radiology - Diagnostic Radiology practicing in Caldwell, ID. With approximately 18 years of clinical experience since completing medical education in 2008, Dr. Malcom delivers high-quality medical care to the local community at 4519 ENTERPRISE WAY.

Dr. Malcom maintains professional affiliations with Memorial Hospital Of Carbon County, Medical Imaging Associates Of Idaho Falls Inc, Cache Valley Vein and accepts Medicare assignment.

Frequently performed procedures and clinical services include low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, injection, gadobutrol, 0.1 ml, injection, methylprednisolone acetate, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4519 Enterprise Way

Caldwell, ID 836058055

Telephone 2084557482

Fax 2084557538

Associated Practice Facility / Clinic

🏢 Mountain Telerad, Pllc Facility NPI 1821280371

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiology - Diagnostic Radiology in Caldwell, ID

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs Matches City Avg

City Avg: 18.0 Yrs

State Avg: 21.0 Yrs

Regional Practice Density

4 Specialists

Practicing in Caldwell, ID (222 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

90.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Malcom (18 Years) 18 Yrs

Caldwell Specialty Average (18.0 Years) 18.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	4,012	38	$1.00	$0.13
A9585 Injection, gadobutrol, 0.1 ml	2,300	28	$1.00	$0.32
J1010 Injection, methylprednisolone acetate, 1 mg	1,300	20	$1.00	$0.13
71045 X-ray of chest, 1 view	274	256	$153.00	$7.80
74177 Ct scan of abdomen and pelvis with contrast	139	138	$1444.22	$79.49
70450 Ct scan head or brain without contrast	98	94	$549.45	$36.43
76376 3d radiographic procedure	81	81	$106.00	$8.79
71260 Ct scan of chest with contrast	78	76	$776.00	$49.42
72148 MRI scan of lower spinal canal	74	74	$937.73	$65.39
71250 Ct scan of chest without contrast	71	71	$696.00	$47.12
71046 X-ray of chest, 2 views	69	69	$160.61	$9.73
71275 Ct scan of blood vessels of chest with contrast	52	52	$1448.00	$79.55
73502 X-ray of hip, 2-3 views	49	45	$193.33	$10.05
74177 Ct scan of abdomen and pelvis with contrast	48	46	$1348.63	$171.50
74176 Ct scan of abdomen and pelvis without contrast	48	47	$1381.29	$76.44
73030 X-ray of shoulder, minimum of 2 views	46	44	$133.26	$8.41
72148 MRI scan of lower spinal canal	44	44	$1110.82	$148.07
77063 Screening digital tomography of both breasts	43	43	$195.00	$47.34
77067 Screening mammography	43	43	$469.00	$114.75
74183 Mri scan of abdomen before and after contrast	39	39	$1825.00	$96.32
72125 Ct scan of upper spine without contrast	34	34	$671.50	$42.99
71045 X-ray of chest, 1 view	33	33	$153.00	$7.75
71260 Ct scan of chest with contrast	33	31	$751.27	$91.52
93970 Ultrasound study of arm or leg veins with compression and maneuvers	32	30	$543.53	$161.97
72141 MRI scan of upper spinal canal	31	31	$948.00	$64.14
74018 X-ray of abdomen, 1 view	31	28	$153.00	$8.13
73721 Mri scan of leg joint without contrast	30	28	$1159.73	$168.31
71250 Ct scan of chest without contrast	25	25	$615.84	$94.23
73130 X-ray of hand, minimum of 3 views	25	21	$120.52	$7.79
76376 3d radiographic procedure	24	24	$116.33	$11.00
76536 Ultrasound of head and neck	24	24	$356.17	$24.73
74183 Mri scan of abdomen before and after contrast	22	22	$1847.45	$224.03
76536 Ultrasound of head and neck	21	20	$414.00	$81.66
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	21	21	$380.76	$19.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$459.00	$153.74
72100 X-ray of lower and sacral spine, 2-3 views	19	19	$151.11	$10.03
72197 Mri scan of pelvis before and after contrast	19	17	$1825.00	$96.28
73502 X-ray of hip, 2-3 views	19	18	$196.16	$22.00
73221 Mri scan of arm joint without contrast	19	18	$1098.05	$154.04
71271 Low dose ct scan of chest for lung cancer screening	18	18	$668.67	$100.55
73562 X-ray of knee, 3 views	18	17	$121.00	$8.40
73630 X-ray of foot, minimum of 3 views	18	16	$121.00	$7.52
70450 Ct scan head or brain without contrast	18	18	$545.33	$41.29
74178 Ct scan of abdomen and pelvis before and after contrast	17	17	$1552.00	$88.17
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	17	14	$331.12	$101.59
73700 Ct scan of leg without contrast	17	17	$649.00	$43.53
72131 CT scan of lower spine	17	17	$618.29	$42.93
71046 X-ray of chest, 2 views	17	17	$164.35	$14.56
73110 X-ray of wrist, minimum of 3 views	16	16	$121.00	$7.79
72141 MRI scan of upper spinal canal	16	16	$1110.75	$155.97
73564 X-ray of knee, 4 or more views	16	15	$146.81	$10.38
71271 Low dose ct scan of chest for lung cancer screening	16	16	$934.00	$47.00
73560 X-ray of knee, 1-2 views	16	16	$133.56	$7.49
77002 Fluoroscopic guidance for needle placement	15	14	$425.00	$104.43
72040 X-ray of upper spine, 2-3 views	15	15	$164.33	$10.04
72110 X-ray of lower and sacral spine, minimum of 4 views	14	13	$234.00	$11.64
73080 X-ray of elbow, minimum of 3 views	14	12	$114.00	$7.78
72146 Mri scan of middle spinal canal	14	14	$930.00	$63.05
73610 X-ray of ankle, minimum of 3 views	14	13	$120.43	$7.79
73721 Mri scan of leg joint without contrast	14	14	$862.00	$59.47
70551 Mri scan of brain without contrast	14	14	$893.71	$63.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$318.00	$165.98
70498 Ct scan of blood vessels of neck with contrast	13	13	$1351.00	$73.48
76705 Limited ultrasound scan of abdomen	13	13	$393.38	$25.40
74176 Ct scan of abdomen and pelvis without contrast	12	12	$1001.75	$131.16
70496 Ct scan of blood vessels of head with contrast	12	12	$1123.00	$76.40
72110 X-ray of lower and sacral spine, minimum of 4 views	12	12	$208.00	$29.20
72131 CT scan of lower spine	11	11	$636.27	$77.61
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$145.82	$33.68
71275 Ct scan of blood vessels of chest with contrast	11	11	$1420.36	$91.94
76770 Complete ultrasound scan behind abdominal cavity	11	11	$516.00	$32.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	3,025	28	$0.79	$0.15
A9585 Injection, gadobutrol, 0.1 ml	1,485	15	$1.00	$0.32
71045 X-ray of chest, 1 view	293	285	$139.00	$8.29
74177 Ct scan of abdomen and pelvis with contrast	169	169	$1304.25	$82.39
71046 X-ray of chest, 2 views	97	96	$146.80	$9.93
70450 Ct scan head or brain without contrast	96	94	$495.75	$37.67
71275 Ct scan of blood vessels of chest with contrast	91	91	$1304.05	$81.75
71250 Ct scan of chest without contrast	85	85	$621.33	$48.53
71260 Ct scan of chest with contrast	82	82	$691.41	$51.27
74176 Ct scan of abdomen and pelvis without contrast	68	68	$1262.44	$78.69
72148 MRI scan of lower spinal canal	63	63	$808.51	$66.61
74183 Mri scan of abdomen before and after contrast	57	57	$1659.00	$98.82
73502 X-ray of hip, 2-3 views	55	53	$195.36	$10.23
77080 Dxa bone density measurement of hip, pelvis, spine	49	49	$129.84	$8.96
77067 Screening mammography	47	47	$469.00	$116.12
77063 Screening digital tomography of both breasts	47	47	$195.00	$48.38
76376 3d radiographic procedure	45	45	$144.00	$17.54
73562 X-ray of knee, 3 views	45	42	$110.33	$8.60
74177 Ct scan of abdomen and pelvis with contrast	45	45	$1277.89	$173.54
72148 MRI scan of lower spinal canal	44	44	$1075.75	$148.60
73030 X-ray of shoulder, minimum of 2 views	41	38	$122.37	$8.61
73560 X-ray of knee, 1-2 views	38	36	$116.84	$7.45
71260 Ct scan of chest with contrast	36	36	$691.08	$89.86
72125 Ct scan of upper spine without contrast	34	34	$625.00	$43.87
74018 X-ray of abdomen, 1 view	32	31	$139.00	$8.27
77080 Dxa bone density measurement of hip, pelvis, spine	32	32	$193.91	$23.92
73630 X-ray of foot, minimum of 3 views	30	25	$71.87	$7.66
73564 X-ray of knee, 4 or more views	30	22	$140.80	$10.64
72197 Mri scan of pelvis before and after contrast	29	29	$1659.00	$97.83
71045 X-ray of chest, 1 view	29	29	$139.00	$8.24
71046 X-ray of chest, 2 views	29	29	$151.86	$14.86
76536 Ultrasound of head and neck	27	27	$306.26	$25.84
72100 X-ray of lower and sacral spine, 2-3 views	27	27	$134.11	$10.23
72141 MRI scan of upper spinal canal	24	24	$805.83	$66.68
73721 Mri scan of leg joint without contrast	24	24	$631.25	$61.13
76770 Complete ultrasound scan behind abdominal cavity	23	23	$436.39	$33.20
73221 Mri scan of arm joint without contrast	21	21	$667.62	$61.16
73610 X-ray of ankle, minimum of 3 views	21	20	$107.05	$7.69
70551 Mri scan of brain without contrast	20	20	$794.60	$66.19
71250 Ct scan of chest without contrast	20	20	$616.20	$86.75
73700 Ct scan of leg without contrast	19	19	$516.89	$44.78
73130 X-ray of hand, minimum of 3 views	19	15	$120.74	$16.10
73110 X-ray of wrist, minimum of 3 views	18	15	$90.67	$8.03
73721 Mri scan of leg joint without contrast	18	17	$1136.89	$169.11
72131 CT scan of lower spine	18	17	$564.28	$44.14
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	18	18	$418.00	$19.83
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	17	14	$343.06	$92.06
76536 Ultrasound of head and neck	17	17	$396.82	$73.66
76705 Limited ultrasound scan of abdomen	16	16	$362.75	$26.41
73552 X-ray of thigh bone, minimum 2 views	16	15	$139.31	$8.31
72141 MRI scan of upper spinal canal	16	16	$1066.00	$144.68
74183 Mri scan of abdomen before and after contrast	15	15	$1781.40	$232.30
71275 Ct scan of blood vessels of chest with contrast	15	15	$1266.87	$122.81
73221 Mri scan of arm joint without contrast	15	15	$1110.73	$169.93
73140 X-ray of finger, minimum of 2 views	15	13	$82.13	$6.31
70486 CT scan of face	14	14	$595.57	$34.70
73030 X-ray of shoulder, minimum of 2 views	14	12	$131.43	$11.85
72110 X-ray of lower and sacral spine, minimum of 4 views	14	14	$190.86	$36.64
73590 X-ray of lower leg, 2 views	14	13	$110.00	$6.94
93970 Ultrasound study of arm or leg veins with compression and maneuvers	13	13	$541.00	$166.99
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$152.23	$20.24
73502 X-ray of hip, 2-3 views	13	13	$202.08	$17.66
70491 CT scan of neck with contrast	13	13	$737.15	$62.55
70450 Ct scan head or brain without contrast	12	12	$501.67	$42.23
74176 Ct scan of abdomen and pelvis without contrast	12	12	$1136.75	$102.07
76700 Ultrasound of abdomen	12	12	$448.58	$36.55
74170 Ct scan of abdomen before and after contrast	12	12	$642.67	$60.18
70496 Ct scan of blood vessels of head with contrast	11	11	$948.27	$79.00
72170 X-ray of pelvis, 1-2 views	11	11	$121.00	$8.04
73130 X-ray of hand, minimum of 3 views	11	11	$99.09	$7.97
72110 X-ray of lower and sacral spine, minimum of 4 views	11	11	$196.73	$11.80
74178 Ct scan of abdomen and pelvis before and after contrast	11	11	$1305.82	$91.80
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	11	11	$137.00	$48.58
70498 Ct scan of blood vessels of neck with contrast	11	11	$1136.45	$75.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	42	42	$126.00	$8.54
73502 X-ray of hip, 2-3 views	37	37	$215.00	$10.52
73560 X-ray of knee, 1-2 views	33	33	$116.00	$7.80
73721 Mri scan of leg joint without contrast	27	26	$713.00	$63.08
74177 Ct scan of abdomen and pelvis with contrast	26	26	$1215.00	$84.35
76770 Complete ultrasound scan behind abdominal cavity	25	25	$123.76	$39.56
74018 X-ray of abdomen, 1 view	25	25	$20.00	$8.53
73564 X-ray of knee, 4 or more views	25	20	$144.00	$10.76
73562 X-ray of knee, 3 views	23	20	$121.00	$8.80
77063 Screening digital tomography of both breasts	21	21	$195.00	$48.92
77067 Screening mammography	21	21	$469.00	$117.86
73221 Mri scan of arm joint without contrast	20	19	$713.00	$60.62
73700 Ct scan of leg without contrast	20	20	$536.00	$45.05
73030 X-ray of shoulder, minimum of 2 views	18	18	$121.00	$8.95
74176 Ct scan of abdomen and pelvis without contrast	18	18	$251.56	$80.76
73630 X-ray of foot, minimum of 3 views	16	15	$100.00	$7.86
73721 Mri scan of leg joint without contrast	16	14	$1064.00	$152.61
73502 X-ray of hip, 2-3 views	14	14	$197.86	$24.50
73130 X-ray of hand, minimum of 3 views	13	13	$113.00	$14.11
73110 X-ray of wrist, minimum of 3 views	13	13	$100.00	$8.18
70450 Ct scan head or brain without contrast	13	12	$458.00	$38.15
74176 Ct scan of abdomen and pelvis without contrast	13	13	$1162.00	$80.19
77080 Dxa bone density measurement of hip, pelvis, spine	12	12	$196.00	$25.49
73200 Ct scan of arm without contrast	11	11	$552.00	$42.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$497.00	$121.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$471.13	$98.64
93970 Ultrasound study of arm or leg veins with compression and maneuvers	12	12	$867.17	$171.68
72148 MRI scan of lower spinal canal	11	11	$900.45	$187.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A9577 Injection, gadobenate dimeglumine (multihance), per ml	385	25	$11.00	$1.94
72148 MRI scan of lower spinal canal	46	45	$900.00	$185.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	30	$303.00	$94.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$466.00	$148.74
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	27	19	$444.00	$106.75
93970 Ultrasound study of arm or leg veins with compression and maneuvers	26	25	$728.00	$167.55
73721 Mri scan of leg joint without contrast	23	19	$926.00	$190.15
72141 MRI scan of upper spinal canal	21	20	$900.00	$171.69
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	20	15	$4593.00	$1255.31
73221 Mri scan of arm joint without contrast	14	14	$928.00	$207.02
70551 Mri scan of brain without contrast	14	14	$906.00	$193.19
77002 Fluoroscopic guidance for needle placement	11	11	$344.00	$81.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A9577 Injection, gadobenate dimeglumine (multihance), per ml	631	39	$11.00	$2.02
72148 MRI scan of lower spinal canal	54	54	$893.07	$194.48
73221 Mri scan of arm joint without contrast	34	32	$928.00	$205.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$303.00	$96.91
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	22	19	$4593.00	$1381.87
93970 Ultrasound study of arm or leg veins with compression and maneuvers	19	19	$728.00	$173.69
72141 MRI scan of upper spinal canal	19	19	$893.00	$192.71
73721 Mri scan of leg joint without contrast	19	18	$926.00	$209.85
72146 Mri scan of middle spinal canal	15	14	$882.00	$202.72
73222 Mri scan of arm joint with contrast	15	15	$1472.00	$340.84
70551 Mri scan of brain without contrast	15	15	$906.00	$203.86
23350 Injection of dye for X-ray imaging of shoulder joint	15	15	$488.00	$118.04
70553 Mri scan of brain before and after contrast	14	14	$1479.00	$332.61
76970 Ultrasound follow-up study	14	11	$344.00	$83.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
A9577 Injection, gadobenate dimeglumine (multihance), per ml	565	35	$11.00	$2.05
72148 MRI scan of lower spinal canal	59	59	$872.78	$184.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	36	$303.00	$98.41
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	31	25	$4593.00	$1323.87
73221 Mri scan of arm joint without contrast	27	27	$917.30	$211.98
76970 Ultrasound follow-up study	27	22	$344.00	$70.04
72141 MRI scan of upper spinal canal	24	24	$874.50	$187.06
93970 Ultrasound study of arm or leg veins with compression and maneuvers	21	21	$728.00	$175.18
73721 Mri scan of leg joint without contrast	17	16	$921.41	$207.59
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	14	14	$444.00	$107.10
74183 Mri scan of abdomen before and after contrast	14	13	$1975.00	$451.20
36476 Destruction of subsequent incompetent veins of arm or leg using radiofrequency and imaging guidance	14	11	$1053.00	$262.94
70551 Mri scan of brain without contrast	14	13	$899.00	$202.26

Medical Specialties & State Licenses

Radiology - Diagnostic Radiology Primary Specialty

NUCC Taxonomy Code: 2085R0202X

State License ID O-0744

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Radiology - Body Imaging

NUCC Taxonomy Code: 2085B0100X

State License ID O-0744

A Radiology doctor of Osteopathy that specializes in Body Imaging.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

817783 (AZ)

Hospital & Practice Group Affiliations

Teton Radiology Diagnostic A Series Of Teton Group Enterprise

2001 S Woodruff Ave, Idaho Falls, ID 834046372

Phone: 2085247237

Cache Valley Vein

444 Hospital Way, Pocatello, ID 832012745

Phone: 4357532842

Teton Radiology Madison Llc

425 E 4th, Rexburg, ID 834405390

Phone: 2083564888

Teton Radiology Diagnostic A Series Of Teton Group Enterprise

1100 Hollenbeck Ln, Deer Lodge, MT 597222317

Phone: 2085223017

Cache Valley Vein

110 Hospital Ln, Afton, WY 831109409

Phone: 4357532842

Medical Imaging Associates Of Idaho Falls Inc

901 Adams St, Afton, WY 831109621

Phone: 2087155220

Cache Valley Vein

1100 Hollenbeck Ln, Deer Lodge, MT 597222317

Phone: 4357532842

Teton Radiology Diagnostic A Series Of Teton Group Enterprise

110 Hospital Ln, Afton, WY 831109409

Phone: 2085223017

Teton Radiology Caldwell

1100 Hollenbeck Ln, Deer Lodge, MT 597222317

Phone: 2084540742

Teton Radiology Madison Llc

110 Hospital Ln, Afton, WY 831109409

Phone: 2083564888

Memorial Hospital Of Carbon County

2221 Elm St, Rawlins, WY 823015108

Phone: 3073242221

Medical Imaging Associates Of Idaho Falls Inc

1320 Bishop Randall Dr, Lander, WY 825203939

Phone: 2087155220

Teton Radiology Caldwell

4519 Enterprise Way, Caldwell, ID 836058055

Phone: 2084540742

Medical Imaging Associates Of Idaho Falls Inc

2265 E Sunnyside Rd, Idaho Falls, ID 834047598

Phone: 2087155220

Medical Imaging Associates Of Idaho Falls Inc

190 Arrowhead Dr, Evanston, WY 829309266

Phone: 2087155220

Teton Radiology Madison Llc

1100 Hollenbeck Ln, Deer Lodge, MT 597222317

Phone: 2083564888

Teton Radiology Caldwell

110 Hospital Ln, Afton, WY 831109409

Phone: 2084540742

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 10, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 10, 2014

Registered at 4519 ENTERPRISE WAY, CALDWELL, ID 836058055 (Tel: 2084557482)

📍

Updated Business Mailing Address July 10, 2014

Registered at 4519 ENTERPRISE WAY, CALDWELL, ID 836058055 (Tel: 2084557482)

👤

Provider Name / Credentials Updated July 10, 2014

Recorded as CHRISTOPHER MALCOM, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2014

Radiology (License #O-0744 in ID)

🟢

Initial NPI Registration & Enumeration October 21, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447402425

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 21, 2008

Last Update: July 10, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4519 Enterprise Way

Caldwell, ID 836058055

Phone: 2084557482

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.