| NPI | 1316271653 |
|---|---|
| Doing Business As | ST. MARYS GOOD SAMARITAN MEDICAL GROUP ULTRASOUND |
| Entity Type | Organization |
| Authorized Contact | RICHARD HUNTINGTON VP Financial Services 618-241-2204 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2009-09-18 |