Organization
SMSJ IMAGING COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE SKRNICH (AUTHORIZED OFFICIAL)
(469) 779-3764
Entity
Organization
Contact information
Practice address
400 W CAMINO CASA VERDE STE 200, GREEN VALLEY, AZ 85614-3569
(520) 648-9480
Mailing address
400 W CAMINO CASA VERDE STE 200, GREEN VALLEY, AZ 85614-3569
(206) 489-4805
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
12/11/2020
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