Organization
ROCKY MOUNTAIN RADIOLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB MERRELL M.D. (PRESIDENT/MEMBER)
(206) 437-6110
Entity
Organization
Contact information
Practice address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-2267
Mailing address
128 E 2ND ST, POWELL, WY 82435-2318
(307) 754-3319
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9878A
WY
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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