Organization
UNITED RADIOLOGY GROUP, CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA BOSTELMAN (BUSINESS OFFICE MGR)
(785) 827-9526
Entity
Organization
Contact information
Practice address
119 W IRON AVE, 5TH FLOOR, SALINA, KS 67401-2600
(785) 827-9526
Mailing address
PO BOX 2327, SALINA, KS 67402-2327
(785) 827-9526
(785) 827-2854
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100088880A
—
KS
01
—
300037006
RAILROAD MEDICARE
KS
Enumeration date
03/24/2006
Last updated
03/11/2015
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