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Organization
VERDE VALLEY SEDONA ADVANCED IMAGING DIAGNOSTICS LLC
Active
Organization
VERDE VALLEY SEDONA ADVANCED IMAGING DIAGNOSTICS LLC
Active
Other names
Advanced Imaging Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C MOYER (MANAGER)
(928) 778-1251
Entity
Organization
Contact information
Practice address
115 S CANDY LN, BLDG. A, COTTONWOOD, AZ 86326-4105
(928) 649-9999
(928) 649-0058
Mailing address
47 N FRENCH DR, PRESCOTT, AZ 86303-6247
(928) 778-1251
(928) 778-7834
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
OTC2772
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
937071
—
AZ
Enumeration date
12/18/2006
Last updated
10/31/2007
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