Organization
CAMELBACK IMAGING HOLDINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN K COHEN M.D. (PRESIDENT/OWNER)
(602) 943-9200
Entity
Organization
Contact information
Practice address
15215 S 48TH ST, BUILDING 1 SUITE 110, PHOENIX, AZ 85044-9142
(480) 940-9729
(480) 940-9730
Mailing address
PO BOX 98341, PHOENIX, AZ 85038-0341
(602) 943-9200
(602) 216-3000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
850950
—
AZ
Enumeration date
04/12/2006
Last updated
10/10/2007
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