| NPI | 1952386062 |
|---|---|
| Other Name | PHOENIX DIAGNOSTIC IMAGING FOUNTAINS |
| Entity Type | Organization |
| Authorized Contact | DANIEL J SCHAEFER COO 770-300-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2010-07-27 |