| NPI | 1649681842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK DOUGLAS MINKUS Sole Member 928-276-4293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: AZ 33081) |
| Enumeration Date | 2014-05-11 |
| Last Update Date | 2014-05-21 |