Organization
PROSCAN RADIOLOGY, LLC
Active
Other names
ProScan Imaging Gahanna
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH N WALLACE (CFO)
(513) 924-5183
Entity
Organization
Contact information
Practice address
425 BEECHER RD, SUITE B, GAHANNA, OH 43230-6778
(614) 855-8740
Mailing address
425 BEECHER RD, SUITE B, GAHANNA, OH 43230-6778
(614) 855-8740
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/29/2006
Last updated
10/05/2007
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