TROY CONSTANT AVENDANIO

FARMINGTON, MO
NPI1437165263
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: TX  L3563)
Enumeration Date2006-08-01
Last Update Date2007-11-26
Business Address
-- TROY CONSTANT AVENDANIO
1101 W LIBERTY ST DEPT. OF RADIOLOGY
FARMINGTON, MO 63640-1921
Phone number: 573-760-8075
Mailing Address
-- TROY CONSTANT AVENDANIO
PO BOX 629
FARMINGTON, MO 63640-0629
Phone number: 573-760-8075
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