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Physicians Radiology Pediatric Radiology

Provider NPI: 1417288366

Organization Information:
Organization is not Subpart
Authorized Official:  WILLIAM  SISSON  PRESIDENT/CEO  859-260-6100

Practice Location:
Tel: 859-260-6100  Fax: --

Business Mailing Address:
Tel: 859-260-6100  Fax: --

NPI Information:
NPI: 1417288366
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Pediatric Radiology

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 2085P0229X





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