Organization
SOUTHWEST RADIOLOGY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN K. WILLIAMS M.D. (MANAGING PARTNER)
(417) 624-5882
Entity
Organization
Contact information
Practice address
1722 WEST 27TH STREET, JOPLIN, MO 64804
(417) 624-5882
Mailing address
1722 WEST 27TH STREET, JOPLIN, MO 64804
(417) 624-5882
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10457
MEDICARE PROVIDER NUMBER
MO
Enumeration date
09/26/2006
Last updated
10/02/2007
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