| NPI | 1578821260 |
|---|---|
| Doing Business As | GOLDEN VALLEY MEDICAL |
| Entity Type | Organization |
| Authorized Contact | RANDY WERTZ CEO 660-885-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |