Organization
DIAGNOSTIC IMAGING ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY JORDAN (BILLING MANAGER)
(870) 732-2401
Entity
Organization
Contact information
Practice address
200 TYLER, WEST MEMPHIS, AR 72301
(870) 735-1500
Mailing address
PO BOX 2224, WEST MEMPHIS, AR 72303
(870) 732-2401
(870) 732-2672
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/20/2006
Last updated
08/22/2020
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