Organization
ADVANCED RADIOLOGY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA MICHELLE STUDNER (ADMINISTRATOR)
(877) 307-8553
Entity
Organization
Contact information
Practice address
2270 S RIDGEVIEW DRIVE, YUMA, AZ 85364
(877) 307-8553
(805) 583-1729
Mailing address
PO BOX 17049, PHOENIX, AZ 85011-0049
(877) 307-8553
(805) 583-1729
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087700
—
AZ
01
—
AZ0368950
BLUE CROSS
AZ
Enumeration date
05/11/2006
Last updated
01/31/2008
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