Organization
INDEPENDENT IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY L SHORE MD (PRESIDENT)
(314) 821-5600
Entity
Organization
Contact information
Practice address
500 PORTER AVE, AURORA, MO 65605-2365
(417) 678-7880
Mailing address
1715 DEER TRACKS TRL, SUITE 130, SAINT LOUIS, MO 63131-1839
(314) 821-5600
(314) 821-2180
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
LC0773278
MO
Other
Enumeration date
01/15/2007
Last updated
04/11/2008
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