Organization
INTERVENTIONAL RADIOLOGY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORDELL A ESPLIN M.D. (PRESIDENT)
(602) 943-9200
Entity
Organization
Contact information
Practice address
1800 E VAN BUREN ST, PHOENIX, AZ 85006-3742
(602) 254-2123
(602) 254-4172
Mailing address
PO BOX 27340, PHOENIX, AZ 85061-7340
(602) 943-9200
(602) 216-3000
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z7077
HEALTH NET
AZ
05
—
874801
—
AZ
Enumeration date
12/12/2007
Last updated
05/19/2008
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