| NPI | 1669863981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH HEWETT Owner 424-500-2557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: CA C52896) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |