| NPI | 1760550222 |
|---|---|
| Other Name | MARION MEDICAL XRAY |
| Entity Type | Organization |
| Authorized Contact | JUDY KAY BRANDON Office Manager 618-997-6909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 336-011758) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-12-19 |