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1942495916
INTERVASC AT BAY RADIOLOGY, LLC
PANAMA CITY, FL
NPI
1942495916
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Entity Type
Organization
Authorized Contact
LLOYD G. LOGUE
CEO
850-747-4905
Organization Subpart ?
Yes
Primary Taxonomy
2085R0204X Radiology, Vascular & Interventional Radiology
Enumeration Date
2007-09-12
Last Update Date
2014-08-18
Business Address
INTERVASC AT BAY RADIOLOGY, LLC
527 N. PALO ALTO AVE.
PANAMA CITY, FL 32401-3639
Phone number: 850-873-3990
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Mailing Address
INTERVASC AT BAY RADIOLOGY, LLC
PO BOX 1770
PANAMA CITY, FL 32402-1770
Phone number: 850-747-4905
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