NPI | 1023498805 |
---|---|
Entity Type | Organization |
Authorized Contact | TONI COOPER Director Of Credentialing 754-206-6198 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Enumeration Date | 2015-06-05 |
Last Update Date | 2023-03-21 |