| NPI | 1639122286 |
|---|---|
| Doing Business As | LAKE OF THE OZARKS RADIOLOGY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL VIERRA President 573-348-8353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-03-11 |