| NPI | 1659580116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BURT J LOESSBERG Administrator 541-687-7134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AK 314344) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |