| NPI | 1033157078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ROBERT ALZHEIMER Single Member Owner 307-674-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: MT 10785) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |