Organization
RADADVANTAGE ILLINOIS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN HALL (VICE PRESIDENT, OPERATIONS)
(602) 910-6887
Entity
Organization
Contact information
Practice address
3805 E BELL RD, SUITE 5500, PHOENIX, AZ 85032-2105
(602) 910-6887
(602) 635-1262
Mailing address
1351 4TH ST, SUITE 300, SANTA MONICA, CA 90401-1337
(310) 869-4148
(847) 854-6725
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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