NPI | 1053547927 |
---|---|
Entity Type | Organization |
Authorized Contact | EARL BLAIR MAES Owner 319-321-7241 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MO 2006039229) |
Enumeration Date | 2009-06-05 |
Last Update Date | 2024-08-23 |