| NPI | 1205304300 |
|---|---|
| Other Name | RADIOLOGY - ROLLA |
| Entity Type | Organization |
| Authorized Contact | CATHY EGHIGIAN Director, Credentialing Operations 314-273-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2020-10-30 |