Organization
CASPER TELERADIOLOGY, PLLC
Active
Other names
Casper Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW E GOMES MD (CHIEF EXECUTIVE OFFICER)
(917) 318-6682
Entity
Organization
Contact information
Practice address
2735 SILVER CREEK RD, BULLHEAD CITY, AZ 86442-7924
(928) 763-2273
Mailing address
410 PARK AVE, 15TH FLOOR, SUITE #1240, NEW YORK, NY 10022-4407
(917) 318-6682
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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