Organization
HAZEL RADIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HAZEL M.D. (OWNER)
(573) 359-3464
Entity
Organization
Contact information
Practice address
946 E REED ST, RADIOLOGY DEPARTMENT, HAYTI, MO 63851-1243
(573) 359-3464
Mailing address
PO BOX 191850, SAINT LOUIS, MO 63119-7850
(314) 821-8055
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/21/2007
Last updated
05/01/2008
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