Organization
MARIANNA RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL OLAZABAL M.D. (OWNER/PARTNER)
(337) 824-4403
Entity
Organization
Contact information
Practice address
4250 HOSPITAL DR, MARIANNA, FL 32446-1917
(850) 526-2200
(850) 718-2551
Mailing address
PO BOX 357, JENNINGS, LA 70546-0357
(337) 824-4403
(337) 824-9731
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/05/2006
Last updated
08/22/2020
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