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NPI 1104188879

NPI 1104188879 : ARTUR NARKIEWICZ-JODKO MD : POCATELLO, ID

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General NPI Number Information
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    NPI Number           |    1104188879
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    Entity Type          |    Individual 
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    Provider Name        |    ARTUR NARKIEWICZ-JODKO MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/08/2012
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    Last Update Date     |    09/30/2025
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Provider Practice Location Address
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    Address Line         |    777 HOSPITAL WAY 
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    City                 |    POCATELLO
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    State                |    ID
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    Zip                  |    83201
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    Country              |    US
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    Telephone            |    208-239-1000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2265 E SUNNYSIDE RD 
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    City                 |    IDAHO FALLS
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    State                |    ID
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    Zip                  |    83404-7598
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    Country              |    US
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    Telephone            |    208-542-5000
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    Fax                  |    208-542-5151
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    MD220544
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    License Number State |    OR
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Taxonomy #2
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    Taxonomy Code        |    2085R0204X
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    Taxonomy Name        |    Vascular & Interventional Radiology Physician
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    License Number       |    M-14181
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    License Number State |    ID
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Taxonomy #3
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    Taxonomy Code        |    2085R0204X
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    Taxonomy Name        |    Vascular & Interventional Radiology Physician
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    License Number       |    RT3082
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    License Number State |    NH
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Taxonomy #4
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    M-14181
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    License Number State |    ID
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