| NPI | 1609063197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN W RICH Md 800-667-9334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA MD00035468) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-10-09 |