Organization
SCOTTSDALE MEDICAL IMAGING, LTD
Active
Organization
SCOTTSDALE MEDICAL IMAGING, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY S OWEN MD (VICE PRESIDENT)
(480) 425-5000
Entity
Organization
Contact information
Practice address
3501 N SCOTTSDALE RD, #130, SCOTTSDALE, AZ 85251-5648
(480) 425-5000
(480) 425-5010
Mailing address
9700 N 91ST ST STE C200, SCOTTSDALE MEDICAL IMAGING, LTD., SCOTTSDALE, AZ 85258-5064
(480) 425-5000
(480) 425-5010
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
453621
—
AZ
Enumeration date
03/07/2006
Last updated
09/28/2010
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