Organization
MEDICAL MILE IMAGING
Active
Organization
MEDICAL MILE IMAGING
Active
Parent organization
MEDICAL MILE IMAGING
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL MILE IMAGING
Authorized official
DR. DAN T SULLIVAN MD (PRESIDENT)
(417) 864-8360
Entity
Organization
Contact information
Practice address
3905 E WINDSMORE DR, SPRINGFIELD, MO 65802
(417) 864-8360
Mailing address
3905 E WINDSMORE, SPRINGFIELD, MO 65802
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R4804
MO
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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