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 Radiology, Neuroradiology | |
2085R0204X Radiology, Vascular & Interventional Radiology | |
367500000X Nurse Anesthetist, Certified Registered | |
Enumeration Date | 2023-09-29 |
Last Update Date | 2024-06-11 |