Organization
SOUTHWOOD PET SCAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO MORRIS (ENROLLMENT SPECIALIST)
(412) 937-5726
Entity
Organization
Contact information
Practice address
250 DEBARTOLO PL, BUILDING B, YOUNGSTOWN, OH 44512-7004
(330) 729-0357
(330) 729-0358
Mailing address
250 DEBARTOLO PL, BUILDING B, YOUNGSTOWN, OH 44512-7004
(330) 729-0357
(330) 729-0358
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
PA
Other
Enumeration date
06/04/2006
Last updated
07/21/2022
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