| NPI | 1851964712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARLEE LEBLEU Vice President 780-321-7026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2024-07-11 |