Organization
REGIONAL RADIOLOGY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSMARY V SHIBEN MD (OWNER/PRESIDENT)
(270) 441-4275
Entity
Organization
Contact information
Practice address
225 MEDICAL CENTER DR, SUITE 203, PADUCAH, KY 42003-7914
(270) 441-4275
(270) 441-4197
Mailing address
225 MEDICAL CENTER DR, SUITE 203, PADUCAH, KY 42003-7914
(270) 441-4275
(270) 441-4197
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65936387
—
KY
Enumeration date
10/12/2006
Last updated
07/16/2014
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