Organization
GILA COUNTY RADIOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DHRUVE CHOPRA (MANAGER OF OPERATIONS)
(469) 757-1000
Entity
Organization
Contact information
Practice address
5880 S HOSPITAL DR, GLOBE, AZ 85501-9447
(480) 767-2111
Mailing address
9522 E SAN SALVADORE, SUITE 150, SCOTTSDALE, AZ 85258-5569
(480) 767-2111
(480) 614-1420
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117649
MEDICARE
AZ
05
—
245319
—
AZ
Enumeration date
06/08/2007
Last updated
11/01/2007
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