Psc Radiate

LBN: William Eder Md
Psc Radiate is an health care organization with primary practice located at 3040 E 17Th St Ste A , Ammon ID 83406-6760. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. William Eder Md can be contacted via phone (208) 557-0998, or through Davenport, Katie via phone (208) 520-2636.

Contact Information

Primary practice address
3040 E 17Th St Ste A Ammon ID 83406-6760
Phone: (208) 557-0998
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davenport, Katie
Phone: (208) 520-2636

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M3801 Idaho

Profile Details

NPI number 1235472895
LBN Legal business name William Eder Md
DBA Doing business as Psc Radiate
Authorized official Davenport, Katie
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2013
Last updated Apr 2nd, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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