| NPI | 1639380322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A YOUNG Credential Contact 877-887-1784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME81488) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2008-08-01 |