Organization
SOUTH SHORE RADIOLOGY INC
Active
Organization
SOUTH SHORE RADIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID V WEST MD (PRESIDENT)
(419) 502-6731
Entity
Organization
Contact information
Practice address
1400 MAIN STREET, BELLEVUE, OH 44811-1028
(419) 483-4040
(419) 484-5411
Mailing address
PO BOX 1800, SANDUSKY, OH 44871
(419) 502-6731
(419) 502-6732
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC6547
RAILROAD MEDICARE
—
Enumeration date
03/29/2006
Last updated
04/20/2008
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