Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RODERICK JACK WILLMORE, M.D.
ActiveDR. RODERICK JACK WILLMORE, M.D. is a Diagnostic Radiology healthcare provider located in IDAHO FALLS, Idaho. NPI 1346538253 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1346538253
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2011 (15.12306456049 yrs)
- Last Updated
- May 15, 2017
- License
-
M13586 (ID)
Practice Information
- Address
-
3100 CHANNING WAYIDAHO FALLS, ID, 834047533Browse ID providers · Browse ZIP 83404
- Phone
- 2085296111
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
Other Diagnostic Radiology Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| DR. NEAL J CLINGER | M.D. | 1235109570 |
| DR. ALAN B WRAY | M.D. | 1013987452 |
| JUSTIN A LAMB | D.O. | 1417915430 |
| DR. DIRK E. BIGLER | D.O. | 1457304776 |
| DR. JAMES W TAYLOR | D.O. | 1073567384 |
| DAVID R WARDEN III | MD | 1932288412 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.