Organization
ADVANCED RADIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG JOHNSON (CFO)
(573) 442-1788
Entity
Organization
Contact information
Practice address
1037 PALISADES BLVD, SUITE 7, OSAGE BEACH, MO 65065-3340
(573) 746-7010
(573) 746-7011
Mailing address
311 N KEENE ST, COLUMBIA, MO 65201-6623
(573) 442-1788
(573) 442-1789
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/22/2006
Last updated
02/27/2008
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