Organization
NORTHWEST RADIOLOGY ASSOCIATES P C
Active
Organization
NORTHWEST RADIOLOGY ASSOCIATES P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY HICKEY M.D. (PRESIDENT)
(802) 524-1058
Entity
Organization
Contact information
Practice address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-1058
(802) 524-7021
Mailing address
PO BOX 1359, WILLISTON, VT 05495-1359
(802) 524-7100
(802) 524-7021
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008129
—
VT
01
—
58514
BLUE CROSS GROUP NUMBER
VT
Enumeration date
12/18/2006
Last updated
01/04/2008
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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