| NPI | 1215028501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTY MEDANICH C.O.O. 806-792-2767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2021-11-04 |