Organization
RICHMOND RADIOLOGISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL T. BRENDLE M.D. (PRESIDENT)
(765) 966-2929
Entity
Organization
Contact information
Practice address
35 S 8TH ST, RICHMOND, IN 47374-5441
(765) 966-2929
(765) 966-2845
Mailing address
35 S 8TH ST, RICHMOND, IN 47374-5441
(765) 966-2929
(765) 966-2845
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
50000783A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50000783A
LICENSE NUMBER
IN
Enumeration date
09/08/2005
Last updated
12/31/2008
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