| NPI | 1295061422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ALAN DERHAAG Manager 520-352-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2009-10-22 |