Organization
MOUNTAIN IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY C CROSBY M.D., (OWNER)
(480) 363-3202
Entity
Organization
Contact information
Practice address
807 S PONDEROSA ST, PAYSON, AZ 85541-5542
(928) 472-1357
(928) 472-1290
Mailing address
16620 N 40TH ST, STE. B-2, PHOENIX, AZ 85032-3348
(602) 493-1994
(602) 443-2185
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
28316
AZ
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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