Organization
ARIZONA COAST RADIOLOGY, PLLC
Active
Organization
ARIZONA COAST RADIOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK D DUNN MD (MEMBER)
(928) 412-7485
Entity
Organization
Contact information
Practice address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5607
(928) 412-7485
Mailing address
2610 PATIO SIMPATICO, LAKE HAVASU CITY, AZ 86406-7789
(928) 412-7485
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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