Organization
DIAGNOSTIC MEDICAL ULTRASOUND SERVICE, LLC
Active
Organization
DIAGNOSTIC MEDICAL ULTRASOUND SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL DEAN WEST RDMS, ABD,OB/GYN/RVT (CEO, OWNER)
(636) 248-2073
Entity
Organization
Contact information
Practice address
3819 RIDGEFIELD FARMS DR, DEFIANCE, MO 63341-2009
(636) 248-2073
Mailing address
3819 RIDGEFIELD FARMS DR, DEFIANCE, MO 63341-2009
(636) 248-2073
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
14095
—
2471S1302X
Sonography Radiologic Technologist
14095
—
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
14095
—
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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