Organization
MOUNTAIN STATES HEALTH ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA FRAZIER (DIRECTOR OF DIAGNOSTIC IMAGING)
(423) 431-6471
Entity
Organization
Contact information
Practice address
301 MED TECH PKWY, SUITE 100, JOHNSON CITY, TN 37604-2364
(423) 610-6226
(423) 283-7340
Mailing address
301 MED TECH PKWY, SUITE 100, JOHNSON CITY, TN 37604-2364
(423) 610-6226
(423) 283-7340
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
MDX0000005568
TN
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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