| NPI | 1508128190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD H. RODGERS Credentialing Specialist 717-759-6739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2013-05-31 |