NPI | 1164762316 |
---|---|
Entity Type | Organization |
Authorized Contact | KEITH M HARRINGTON Vice President 424-218-9368 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Additional Taxonomies | 363L00000X Nurse Practitioner |
2085R0204X Radiology, Vascular & Interventional Radiology | |
363A00000X Physician Assistant | |
Enumeration Date | 2013-02-26 |
Last Update Date | 2023-06-05 |