| NPI | 1205957370 |
|---|---|
| Other Name | CRESTWOOD XRAY |
| Entity Type | Organization |
| Authorized Contact | JUDITH MILES Office Manager 330-758-8353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 0116IC) |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: OH 0116IC) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-07-21 |