Organization
ALLEGIANCE MEDICAL X-RAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY B CAMILLO (MANAGING PARTNER)
(314) 772-1441
Entity
Organization
Contact information
Practice address
2331 HAMPTON AVE, SAINT LOUIS, MO 63139-2908
(314) 772-1441
(314) 772-0600
Mailing address
2331 HAMPTON AVE, ST LOUIS, MO 63139
(314) 772-1441
(314) 772-0600
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
MO
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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