NPI | 1073942041 |
---|---|
Doing Business As | NEUROINTERVENTIONAL CLINIC |
Entity Type | Organization |
Authorized Contact | MICHAEL W LANGENBERG Practice Administrator 865-584-7376 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
Enumeration Date | 2013-11-11 |
Last Update Date | 2013-11-11 |