Organization
WHITE MOUNTAIN RADIOLOGY
Active
Organization
WHITE MOUNTAIN RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR JAY PRINGLE (NPI)
(928) 537-6338
Entity
Organization
Contact information
Practice address
2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7881
(928) 537-6338
(928) 532-5947
Mailing address
PO BOX 591, COLUMBUS, GA 31902-0500
(706) 653-1102
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
AZ
Other
Enumeration date
01/18/2006
Last updated
01/08/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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