| NPI | 1689636243 |
|---|---|
| Doing Business As | PRESCOTT IMAGING CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J DANGELO Medical Director 928-778-1971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2017-07-11 |