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Organization

MOUNTAIN WEST MEDICAL IMAGING, LLC

Active
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Organization

MOUNTAIN WEST MEDICAL IMAGING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAX L TERRY MD (OWNER)
(928) 681-1800
Entity
Organization

Contact information

Practice address
2110 AIRWAY AVE, KINGMAN, AZ 86409-3652
(928) 681-1800
(928) 681-1832
Mailing address
2110 AIRWAY AVE, KINGMAN, AZ 86409-3652
(928) 681-1800
(928) 681-1832

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
09/14/2006
Last updated
03/28/2008
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