Organization
DIAGNOSTIC RADIOLOGY PC VEIN CLINIC
Active
Parent organization
DIAGNOSTIC RADIOLOGY PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIAGNOSTIC RADIOLOGY PC
Authorized official
JO A POHL CPC (BILLING MANAGER)
(308) 647-6444
Entity
Organization
Contact information
Practice address
26136 US HIGHWAY 59, FAIRFAX, MO 64446-9105
(308) 647-6444
(866) 902-2445
Mailing address
PO BOX 3521, OMAHA, NE 68103-0521
(308) 647-6444
(866) 902-2445
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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