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Organization
DIAGNOSTIC RADIOLOGY PC VEIN CLINIC
Active
Organization
DIAGNOSTIC RADIOLOGY PC VEIN CLINIC
Active
Parent organization
DIAGNOSTIC RADIOLOGY PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIAGNOSTIC RADIOLOGY PC
Authorized official
JO A POHL CPC (BILLING MANAGER)
(308) 647-6444
Entity
Organization
Contact information
Practice address
26136 US HIGHWAY 59, FAIRFAX, MO 64446-9105
(308) 647-6444
(866) 902-2445
Mailing address
PO BOX 3521, OMAHA, NE 68103-0521
(308) 647-6444
(866) 902-2445
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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