| NPI | 1659043529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH M HARRINGTON Vice President 424-213-9368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2023-06-12 |