| NPI | 1477506319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY R FISCHER Executive Officer 765-446-5292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2025-09-11 |