Organization
DIAGNOSTIC RADIOLOGY PROVIDERS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE DOUKAS (EXECUTIVE DIRECTOR)
(602) 943-9200
Entity
Organization
Contact information
Practice address
2400 S AVENUE A, YUMA, AZ 85364-7127
(928) 344-2000
(928) 336-7210
Mailing address
PO BOX 27340, PHOENIX, AZ 85061-7340
(602) 943-9200
(602) 216-3000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
01/25/2008
Last updated
04/22/2008
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