| NPI | 1306133632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNETTE K GUNDLACH Comptroller 541-608-8791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |