Organization
MEDICAL IMAGING PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD REYBURN MD (VP)
(765) 454-9729
Entity
Organization
Contact information
Practice address
2008 W BOULEVARD, KOKOMO, IN 46902-6079
(765) 454-9729
Mailing address
2008 W BOULEVARD, KOKOMO, IN 46902-6079
(765) 454-9729
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IN
Other
Enumeration date
01/17/2007
Last updated
07/21/2022
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