Organization
LITTON & GIDDINGS RADIOLOGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES S. SMITH IV (BUSINESS MANAGER)
(417) 894-0878
Entity
Organization
Contact information
Practice address
COX HOSPITAL DEPT OF RADIOLOGY, 3801 SOUTH NATIONAL, SPRINGFIELD, MO 65807
(417) 269-4056
Mailing address
PO BOX 2727, SPRINGFIELD, MO 65801-2727
(417) 889-6102
(417) 874-4071
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107958002
AR MEDICAID
AR
01
—
1256
BLUE
MO
05
—
710480302
—
MO
Enumeration date
04/19/2006
Last updated
06/16/2014
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