Organization
PROFESSIONAL RAADIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH R HUDEPOHL (CHIEF OPERATING OFFICER)
(513) 527-0401
Entity
Organization
Contact information
Practice address
3125 HAMILTON MASON RD, HAMILTON, OH 45011-5307
(513) 872-4500
(513) 872-4518
Mailing address
4170 ROSSLYN DR, SUITE B, CINCINNATI, OH 45209-1197
(513) 872-4500
(513) 872-4518
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
316204
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0395095
—
OH
05
—
65916447
—
KY
Enumeration date
06/20/2006
Last updated
03/10/2008
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