| NPI | 1790048585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN R PHILLIPS Medical Services Manager 501-701-6574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: AR DE01743) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-08-21 |