| NPI | 1982283008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHYAN FERGUSON Manager 662-335-0183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2021-07-21 |