| NPI | 1679825244 |
|---|---|
| Doing Business As | RADIANCE MEDICAL SPA AND VEIN CARE |
| Entity Type | Organization |
| Authorized Contact | TOM LUEBBERING Vice President Of Finance 573-632-5102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085B0100X Radiology Body Imaging |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2013-12-19 |