NPI | 1477589075 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTIAN L DEWALD Radiologist 623-931-7999 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology |
2085R0204X Radiology, Vascular & Interventional Radiology | |
Enumeration Date | 2006-06-24 |
Last Update Date | 2011-06-20 |