| NPI | 1790539708 |
|---|---|
| Doing Business As | VASCULAR AND INTERVENTIONAL RADIOLOGY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHANNON CEO 812-282-3899 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 208800000X Urology | |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2025-10-21 |