NPI | 1730690801 |
---|---|
Doing Business As | PHS UNITY HEALTHCARE PARKSIDE RADIOLOGY |
Entity Type | Organization |
Authorized Contact | BEAU HIGGINBOTHAN Vice President/COO 410-368-3162 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0200X Clinic/Center Radiology (Licence: DC HFD01-0212) |
Enumeration Date | 2017-10-17 |
Last Update Date | 2017-10-17 |