| NPI | 1194774760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN LESLIE President/Radiologist 502-583-2731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2018-03-12 |