NPI | 1063032993 |
---|---|
Entity Type | Organization |
Authorized Contact | JOYCE VOLLMER CFO 863-577-0303 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology |
Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology |
2086S0129X Surgery Vascular Surgery | |
Enumeration Date | 2020-04-21 |
Last Update Date | 2020-04-21 |