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
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