| NPI | 1629800412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBI NICOLE PACE Office Manager 662-470-7554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2025-07-17 |