| NPI | 1730969502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA DURHAM VP Physician Business Services 877-892-9815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 174400000X Specialist |
| 2085N0700X | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2024-06-11 |