| NPI | 1053095471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH M HARRINGTON Vice President 424-213-9368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |