NPI | 1194282400 |
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Doing Business As | COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC - PORTLAND |
Entity Type | Organization |
Authorized Contact | JOEL R. RAINWATER President 480-374-7354 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
Enumeration Date | 2019-02-22 |
Last Update Date | 2019-02-22 |