| NPI | 1538213681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH FORD Radiologist 888-582-0814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: CA G42474) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |