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Physicians Radiology Body Imaging

Provider NPI: 1811030737

Provider Information:
Gender: F
Sole Proprietor

Practice Location:
Tel: 573-727-9080  Fax: --

Business Mailing Address:
Tel: 660-747-9997  Fax: --

NPI Information:
NPI: 1811030737
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Body Imaging

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 2085R0202X





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