| NPI | 1821046004 |
|---|---|
| Doing Business As | INDEPENDENCE PARK |
| Entity Type | Organization |
| Authorized Contact | GEOFFREY K. GARDNER SVP Finance And Revenue Cycle 336-718-2078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2024-03-20 |