Organization
HUBLALL RADIOLOGY, LLC
Active
Organization
HUBLALL RADIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD V HUBLALL MD (OWNER/RADIOLOGIST)
(913) 825-0896
Entity
Organization
Contact information
Practice address
1905 W 32ND ST, JOPLIN, MO 64804-1529
(417) 626-0072
(417) 626-0919
Mailing address
PO BOX 25673, OVERLAND PARK, KS 66225-5673
(913) 825-0896
(913) 825-3786
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
200401951
MO
Other
Enumeration date
01/04/2008
Last updated
09/23/2008
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