| NPI | 1831563568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON BRYANT MONTGOMERY Owner 850-912-8847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |