NPI | 1063886612 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW SCOTT DEHAVEN CEO 443-917-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: MD M478) |
Enumeration Date | 2015-11-19 |
Last Update Date | 2015-11-19 |