Organization
VALLEY RADIOLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN K. MCLARNEY M.D. (PRESIDENT)
(336) 927-9209
Entity
Organization
Contact information
Practice address
1370 W D ST, N WILKESBORO, NC 28659-3506
(336) 927-9209
Mailing address
1900 W PARK DR, PO BOX 456, N WILKESBORO, NC 28659-3563
(336) 927-9209
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89O16E9
—
NC
01
—
DA2465
RAILROAD MEDICARE GRP #
NC
01
—
O16E9
NC BCBS GROUP PROV #
NC
Enumeration date
11/20/2006
Last updated
09/04/2019
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