| NPI | 1548555907 |
|---|---|
| Other Name | ST. ROSE RADIOLOGY SERVICES |
| Entity Type | Organization |
| Authorized Contact | BRUCE B WEDDELL Chief Financial Officer 620-786-6643 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |