| NPI | 1255529335 |
|---|---|
| Doing Business As | INNERVISION WEST |
| Entity Type | Organization |
| Authorized Contact | TERRANCE E WILSON Chief Executive Officer 765-423-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: IN 070050961) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-11-27 |