Organization
TELERAD OF UT ACCOUNT MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY ROSE MD (PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
607 N 1200 E, MAPLETON, UT 84664-5622
(469) 401-2386
Mailing address
13737 NOEL RD, 1600, DALLAS, TX 75240-1331
(469) 401-2386
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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