Organization
RADIOLOGY SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMUNDO T. TAN M.D. (RADIOLOGIST/OWNER)
(701) 252-1050
Entity
Organization
Contact information
Practice address
419 5TH ST NE, JAMESTOWN, ND 58401-3300
(701) 252-1050
(701) 952-3265
Mailing address
419 5TH ST NE, JAMESTOWN, ND 58401-3300
(701) 252-1050
(701) 952-3265
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12174
—
ND
Enumeration date
11/29/2005
Last updated
04/20/2008
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