| NPI | 1669488011 |
|---|---|
| Former Legal Business Name | SPECTRUM MEDICAL GROUP, PA |
| Doing Business As | SPECTRUM RADIOLOGY SOUTH |
| Entity Type | Organization |
| Authorized Contact | RYAN AMANDA MASELLI CFO 207-482-7800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| 363L00000X Nurse Practitioner | |
| 363A00000X Physician Assistant | |
| 2085R0001X | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2025-11-13 |