| NPI | 1427006253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED WICKSTROM Medical Director 928-776-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AZ 21726) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2013-03-07 |