| NPI | 1710919261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA HEINER Office Manager 928-505-9729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2019-12-10 |