| NPI | 1992117188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA STEPHENS Cred Manger 859-948-2390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME100529) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2015-07-09 |