Organization
RUSSELL COUNTY RADIOLOGY, PSC
Active
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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