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Organization
EASTERN RADIOLOGICAL ASSOCIATES PC
Active
Organization
EASTERN RADIOLOGICAL ASSOCIATES PC
Active
Other names
Yellowstone Vein Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA JEWELL MASIN CHC (PRACTICE MANAGER)
(406) 237-5491
Entity
Organization
Contact information
Practice address
2900 12TH AVE N, 2E, BILLINGS, MT 59101-7506
(406) 237-5862
(406) 238-6068
Mailing address
2527 CRANBERRY HWY, WAREHAM, MA 02571-1046
(800) 841-5200
(508) 273-1241
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105737500
—
WY
Enumeration date
07/08/2006
Last updated
05/06/2015
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