Organization
CORRECTIONAL MEDICAL IMAGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD K MCNUTT D.O. (PRESIDENT)
(573) 659-4186
Entity
Organization
Contact information
Practice address
1001 SOUTHWEST BLVD STE C, JEFFERSON CITY, MO 65109-2501
(573) 634-7155
(573) 634-3349
Mailing address
2713 INDUSTRIAL DR STE A, JEFFERSON CITY, MO 65109-6705
(573) 634-7155
(573) 634-3349
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R7J08
MO
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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