NPI | 1043228471 |
---|---|
Other Name | RADIOLOGIST |
Entity Type | Organization |
Authorized Contact | KATHLEEN ANN DEPONTE President 276-679-2729 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 35177) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 28258) |
2085R0202X Radiology, Diagnostic Radiology (Licence: TN 35510) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: NC 25573) | |
Enumeration Date | 2006-08-03 |
Last Update Date | 2015-07-13 |