Organization
NORTHSTAR IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ALLEN PENNEBAKER (EXECUTIVE DIRECTOR)
(775) 829-9880
Entity
Organization
Contact information
Practice address
25 MCCABE DR, RENO, NV 89511-5991
(775) 852-5444
Mailing address
6490 S MCCARRAN BLVD STE 22, RENO, NV 89509-6123
(775) 829-9880
(775) 829-9876
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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