Organization
KINGMAN RADIOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAX LYNN TERRY MD (PRESIDENT)
(928) 681-1800
Entity
Organization
Contact information
Practice address
2110 AIRWAY AVE, KINGMAN, AZ 86409-3652
(928) 681-1800
Mailing address
2110 AIRWAY AVE, KINGMAN, AZ 86409-3652
(928) 681-1800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/11/2009
Last updated
12/11/2009
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