Organization
RUSSELL COUNTY RADIOLOGY, PSC
Active
Other names
Imaging Associates of Russell County
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY DUKE WESTERFIELD M.D. (PRESIDENT)
(270) 866-4294
Entity
Organization
Contact information
Practice address
153 DOWELL RD, RUSSELL SPRINGS, KY 42642-4579
(270) 866-4294
Mailing address
43 DOWELL RD, RUSSELL SPRINGS, KY 42642-4236
(270) 866-4294
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14879
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65940991
—
KY
Enumeration date
01/09/2007
Last updated
01/04/2013
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